Individual
HOLLY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1371 US HIGHWAY 36, BELLEVILLE, KS 66935-8097
(785) 527-2456
Mailing address
1371 US HIGHWAY 36, BELLEVILLE, KS 66935-8097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03157
KS
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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