Individual provider · Type 1 NPI

Teresa Beavers

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number 1609730142 Active

Practice location

2870 Peachtree Rd NW # 915-1369
Atlanta, GA 30305-2918

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1609730142

Teresa Beavers's National Provider Identifier is 1609730142, issued on Dec 10, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 10, 2025.