Provider Demographics
NPI:1568524486
Name:BEEMILLER, MARY BETH (PT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:BEEMILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9755 CHAUCER CT
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9849
Mailing Address - Country:US
Mailing Address - Phone:614-868-9535
Mailing Address - Fax:
Practice Address - Street 1:3341 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1949
Practice Address - Country:US
Practice Address - Phone:614-237-5773
Practice Address - Fax:614-237-5745
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.6776225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist