Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON BEACOM, DPT
ActivePhysical Therapy Assistant · MILTON, WV
Registration Details
- NPI Number
- 1104174614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2012 (13.68347205389 yrs)
- Last Updated
- Aug 15, 2012
- License
-
PT003042 (WV)
Practice Information
- Address
-
1509 W MAIN STSUITE 201MILTON, WV, 255411105Browse WV providers · Browse ZIP 25541
- Phone
- 3047339560
- Fax
- 3047331141
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MILTON, WV
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY R. ICKES | MPT | 1588854954 |
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.