Provider Demographics
NPI:1871817635
Name:BESHEL, AMY E (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:BESHEL
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 1:212 HOSPITAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2058
Mailing Address - Country:US
Mailing Address - Phone:251-279-1640
Mailing Address - Fax:251-279-1494
Practice Address - Street 1:212 HOSPITAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2058
Practice Address - Country:US
Practice Address - Phone:251-279-1640
Practice Address - Fax:251-279-1494
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPT1342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist