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Individual

AUSIE BEAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7402 HIGHWAY 69 S STE G, TUSCALOOSA, AL 35405-1301
(205) 758-5832
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA007541
GA
225100000X
Physical Therapist
Primary
PTH5113
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GA007541
STATE LISC NUMBER
GA
Enumeration date
11/03/2006
Last updated
04/08/2026
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