Craig Beasley
Specialist/Technologist, Athletic Trainer in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1306561329
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1306561329
- Entity type
- Individual (NPI-1)
- Name
- Craig Beasley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2022
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1 University PlzCape Girardeau, MO 63701-4710
Phone 573-986-6764
Mailing address
1 University PlzCape Girardeau, MO 63701-4710
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 49 Athletic Trainer providers in Cape Girardeau · All 2,422 providers in Cape Girardeau
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