Healthcare Provider Details

I. General information

NPI: 1366200032
Provider Name (Legal Business Name): AUSTIN BEGLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NORTH AVE
BATTLE CREEK MI
49017-3307
US

IV. Provider business mailing address

144 VIKING DR
BATTLE CREEK MI
49017-3142
US

V. Phone/Fax

Practice location:
  • Phone: 269-245-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501303199
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: