NPI 1447773023

Nina R Beckwell, MT

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Grangeville, ID

Practice location

Address: 321 W Main St, Grangeville, ID 83530-1917
Phone: (630) 605-9616
Mailing address: 1432 Highway 13, Grangeville, ID 83530-5006

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence MASH-2190 (ID)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Idaho →

Registry record

NPI: 1447773023
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2017
Record last updated: 25 Jul 2017

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.