NPI 1043670011

Paul Bryan Beachem, ATC

Practitioner Athletic Trainer Logan, UT

Practice location

Address: 7400 Old Main Hill Dale Mildenberger Sports Medicine Complex, Logan, UT 84322
Phone: (435) 797-3636

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 9067793-4810 (UT)

Other Specialist/Technologist providers in Utah →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RTO000189 (PA)

Registry record

NPI: 1043670011
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2016
Record last updated: 3 Mar 2016

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.