NPI 1013324300

Bradley Thomas Beise, ATCLAT

Practitioner Athletic Trainer Gainesville, GA

Practice location

Address: 610 Carrington Park Dr, Gainesville, GA 30504-2697
Phone: (706) 897-6245

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002508 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1013324300
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2014
Record last updated: 17 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.