Individual
DEBRA JO BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMP
Contact information
Practice address
120 NE 117TH AVE, VANCOUVER, WA 98684-5020
(360) 931-3591
Mailing address
2009 NE 130TH AVE, VANCOUVER, WA 98684-6761
(360) 931-3591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024201MA00017686
WA
225700000X
Massage Therapist
10306
OR
Other
Enumeration date
02/27/2007
Last updated
04/07/2015
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