Individual
MS. CARROLL LEE BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 42ND AVE. SO., MINNEAPOLIS, MN 55406
(612) 721-7108
Mailing address
2801 42ND AVE S, MINNEAPOLIS, MN 55406-1817
(612) 721-7108
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
07/21/2022
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