Provider Demographics
NPI:1225750342
Name:BEEDE, KATHLEEN EVELYN (DPT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:EVELYN
Last Name:BEEDE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 GREENHILL RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-5431
Mailing Address - Country:US
Mailing Address - Phone:603-512-6644
Mailing Address - Fax:
Practice Address - Street 1:367 GREENHILL RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-5431
Practice Address - Country:US
Practice Address - Phone:603-512-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist