Provider Demographics
NPI:1902227564
Name:BEESON, EMILY (MA, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BEESON
Suffix:
Gender:F
Credentials:MA, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ASHEVILLE SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-8894
Mailing Address - Country:US
Mailing Address - Phone:336-964-6184
Mailing Address - Fax:
Practice Address - Street 1:110 ASHEVILLE SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-8894
Practice Address - Country:US
Practice Address - Phone:336-964-6184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer