Individual
BEVERLY LYNN MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8120 PENN AVE S, SUITE 167, BLOOMINGTON, MN 55431-1358
(612) 619-1519
Mailing address
7324 4TH AVE S, RICHFIELD, MN 55423-3203
(612) 869-7398
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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