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

MR. WALTER BRODERICK BEESON, PT, DPT

Active

MR. WALTER BRODERICK BEESON, PT, DPT is a Physical Therapy Assistant healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1801526785 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PRAIRIE VILLAGE, KS

Registration Details

NPI Number
1801526785
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2022 (4.1406984771814 yrs)
Last Updated
Jun 14, 2022
License
11-06990 (KS)

Practice Information

Address
5200 W 94TH TER STE 112
PRAIRIE VILLAGE, KS, 662072534
Browse KS providers · Browse ZIP 66207
Phone
9132242990
Fax
9132242992
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PRAIRIE VILLAGE, KS

Name Credential NPI
HEATHER GAGNON WONG MS PT 1972577500
PATRICIA N WATSON BA,MSPT 1164450706
MRS. KIMBERLY POINTER PT 1730248345
MRS. ROSALIE BORDERS HALL BSPT 1558416271
JEFFREY STONE MPT 1083755953
MRS. TIFFONIE KAI DIRKS M.P.T. 1003958109
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.