Healthcare Provider Details

I. General information

NPI: 1295659837
Provider Name (Legal Business Name): NATHAN ANDERSON BECKLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 NEW ALBANY PLZ
NEW ALBANY IN
47150-4653
US

IV. Provider business mailing address

307 NEW ALBANY PLZ
NEW ALBANY IN
47150-4653
US

V. Phone/Fax

Practice location:
  • Phone: 812-924-8924
  • Fax: 812-747-8727
Mailing address:
  • Phone: 812-924-8924
  • Fax: 812-747-8727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05013104A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: