Doctor Name: | MS. LINDA F. BEASON |
NPI Number: | 1225109697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A.E., L.M.T. |
License Number: | 4553 |
Business Practice Address: | 6162 Mercer Cir W Jacksonville, FL - 322172429 |
Business Phone Number: | 9044765990 |
Business Fax Number: | |
Mailing Address: | 6162 Mercer Cir W, JACKSONVILLE |
State: | FL |
Postal Code: | 322172429 |
Phone Number: | 9044765990 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 4553 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |