Provider Demographics
NPI:1801657242
Name:BECKLER, GRETA W (PT)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:W
Last Name:BECKLER
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 1:1203 OLD RINGGOLD RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-9023
Mailing Address - Country:US
Mailing Address - Phone:706-847-8702
Mailing Address - Fax:
Practice Address - Street 1:1011 ABUTMENT RD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-4680
Practice Address - Country:US
Practice Address - Phone:706-271-6282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist