Individual
MRS. BEVEN JEAN RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MT
Contact information
Practice address
1172 W HAYDEN AVE, HAYDEN, ID 83835-8700
(208) 762-3332
Mailing address
14222 W COEUR DALENE DR, SPIRIT LAKE, ID 83869-8732
(208) 623-6272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-217
ID
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/17/2006
Last updated
09/11/2025
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