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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY SUE BEAUDOIN, MPT

Active Sole Proprietor

MRS. KELLY SUE BEAUDOIN, MPT is a Physical Therapy Assistant healthcare provider located in BEACHWOOD, Ohio. NPI 1073627576 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BEACHWOOD, OH

Registration Details

NPI Number
1073627576
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2006 (19.952825032983 yrs)
Last Updated
Mar 27, 2019
License
PT10464 (OH)
Sole Proprietor
Yes

Practice Information

Address
23175 COMMERCE PARK
BEACHWOOD, OH, 441225806
Browse OH providers · Browse ZIP 44122
Phone
4404493400
Fax
4404493402
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BEACHWOOD, OH

Name Credential NPI
MRS. LAURIE ZIMCOSKY DPT 1912904558
MRS. COURTNEY REX CRAWFORD PT 1649257155
CLAUDIA FULDAUER PT 1679550271
DEANNA MILLER PT 1194702670
LESLEY C SURTEES PT 1487603908
ANTHONY R TREM PT 1487603833
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.