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Individual
MICHELLE GEAN BEARDEMPHL
Active
Individual
MICHELLE GEAN BEARDEMPHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200945
LABOR AND INDUSTRIES
WA
01
—
3790BE
REGENCE
WA
05
—
8374415
—
WA
01
—
8940289
CRIME VICTIMS
WA
Enumeration date
01/25/2006
Last updated
07/06/2023
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