Individual
MS. NANCY JANE BEADLING
Active
Individual
MS. NANCY JANE BEADLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFOM, CMT, CLT,COTA/
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT714
ME
174400000X
Specialist
OA2580
ME
222Z00000X
Orthotist
—
—
225700000X
Massage Therapist
Primary
37578
ME
Other
Enumeration date
06/02/2008
Last updated
04/11/2012
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