Dawn Lyman Beard, PTA

Individual provider Active NPI Physical Therapy Assistant · Elwood, IN

NPI 1881890168 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1881890168
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06000140A (IN)
Practice address
1331 S a St
Elwood, IN 46036-1942
Phone
(765) 552-8460
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
06000140AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06000140A IN Yes

Addresses

Primary practice location

1331 S a St
Elwood, IN 46036-1942

Mailing address

29390 N Duck Creek Ave
Atlanta, IN 46031-9732
Phone (765) 552-8460

Other providers in Elwood, IN

All providers in Elwood, IN · Physical Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.