Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beau Logan Massingill, DPT

Individual provider Athletic Trainer · NPI 1508339961

Beau Logan Massingill, DPT is an Athletic Trainer in Monroe, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1291 N Telegraph Rd
Monroe, MI 48162-3368
Phone: (734) 243-0300
Fax: (734) 243-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501302274 (MI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1508339961
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address510 E 3rd St, Monroe, MI 48161-2004

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