Provider Demographics
NPI:1639755283
Name:BEECHER, ALEX NELSON (DPT)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:NELSON
Last Name:BEECHER
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2369 N 400 E
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-7232
Mailing Address - Country:US
Mailing Address - Phone:801-675-0608
Mailing Address - Fax:801-776-3087
Practice Address - Street 1:1868 N 1200 W STE A
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1937
Practice Address - Country:US
Practice Address - Phone:801-675-0608
Practice Address - Fax:801-776-3087
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-23
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12068146-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist