Individual
NATASHA A BEAVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2900 HANNAH BLVD, EAST LANSING, MI 48823-5384
(517) 364-8888
Mailing address
1811 MERGANSER DR, HOLT, MI 48842
(517) 694-2538
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.002626
OH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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