Provider Demographics
NPI:1043813769
Name:BEELER WELLNES AND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:BEELER WELLNES AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:BEELER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-979-5200
Mailing Address - Street 1:20569 PIERSON ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-1354
Mailing Address - Country:US
Mailing Address - Phone:248-979-5200
Mailing Address - Fax:248-232-7866
Practice Address - Street 1:20569 PIERSON ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1354
Practice Address - Country:US
Practice Address - Phone:248-979-5200
Practice Address - Fax:248-232-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy