Individual
MRS. TABITHA BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5020 ARMOR DUELLS RD, ORCHARD PARK, NY 14127-4441
(716) 254-1603
Mailing address
242 ELMSFORD DR, WEST SENECA, NY 14224-3344
(716) 254-1603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032855
NY
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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