Individual
NICOLE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
329 N SAGE ST, KALAMAZOO, MI 49006-4040
(269) 547-9419
Mailing address
329 N SAGE ST, KALAMAZOO, MI 49006-4040
(269) 547-9419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
01/19/2015
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