Individual
MISTI BEACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 ROBINS WAY, SUITE 204, RUSSELLVILLE, KY 42276-1129
(270) 893-8706
(888) 704-8506
Mailing address
105 ROBINS WAY, SUITE 204, RUSSELLVILLE, KY 42276-1129
(270) 893-8706
(888) 704-8506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16546
KY
Other
Enumeration date
11/05/2014
Last updated
06/15/2016
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