Provider Demographics
NPI:1942425194
Name:BEEKMAN, JOYCE EVELYN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:EVELYN
Last Name:BEEKMAN
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:W4960 MILL ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-2144
Mailing Address - Country:US
Mailing Address - Phone:608-788-1791
Mailing Address - Fax:
Practice Address - Street 1:W4960 MILL ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-2144
Practice Address - Country:US
Practice Address - Phone:608-788-1791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1534024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1534024OtherWI PT LICENSE