Bradley Thomas Beise, ATC, LAT
NPI #1013324300 in Gainesville, Georgia
Provider Information
- NPI Number
- 1013324300
- Entity Type
- Individual
- Name
- Bradley Thomas Beise, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jul 17, 2014
- Last Updated
- Jul 17, 2014
Practice Location
- Address
- 610 CARRINGTON PARK DR
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30504-2697
- Phone
- (706) 897-6245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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