Individual
MS. CARRIE BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
11247 PORTAGE RD LOT 108, PORTAGE, MI 49002-7589
(269) 547-1869
Mailing address
2805 PORTAGE ST, KALAMAZOO, MI, KALAMAZOO, MI 49001-3747
(269) 383-5772
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501000908
MI
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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