Organization
BEACHERSEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY BEACH PETERSEN (OWNER/OPERATOR)
(970) 426-9226
Entity
Organization
Contact information
Practice address
2302 COUNTY ROAD 234, DURANGO, CO 81301-8206
(970) 426-9226
Mailing address
2302 COUNTY ROAD 234, DURANGO, CO 81301-8206
(970) 426-9226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1438
CO
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518289669
INDIVIDUAL NPI
CO
Enumeration date
09/17/2012
Last updated
09/17/2012
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