Provider Demographics
NPI:1922865757
Name:BEECHLER, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BEECHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 MORTON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:45681-9767
Mailing Address - Country:US
Mailing Address - Phone:937-213-3676
Mailing Address - Fax:
Practice Address - Street 1:1153 MORTON RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:OH
Practice Address - Zip Code:45681-9767
Practice Address - Country:US
Practice Address - Phone:937-213-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide