Individual
MRS. TYANN MARIE BEENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 N MAIN ST, BUFFALO CENTER, IA 50424-7731
(515) 320-2354
Mailing address
PO BOX 185, BUFFALO CENTER, IA 50424-0185
(515) 320-2354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004322
IA
Other
Enumeration date
01/19/2009
Last updated
07/20/2011
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