Individual
MARCENIA STORY BEATY
Active
Individual
MARCENIA STORY BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004108
KY
225100000X
Physical Therapist
5488
TN
Other
Enumeration date
01/30/2013
Last updated
10/25/2014
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