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LAURIE BEAVER LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437501277

Individual Registrant:
 LAURIE  BEAVER LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
101 N ISABELLA ST SUITE C SYLVESTER, GA 31791-2199 US
Tel: 229-821-3178  Fax: --

Contact information for business:
101 N ISABELLA ST SUITE C SYLVESTER, GA 31791-2199 US
Tel: --  Fax: --

Registration Information:
NPI: 1437501277
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GAMT010986

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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