Doctor Name: | MR. DENIS D BEAULIEU |
NPI Number: | 1760428429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT00006407 |
Business Practice Address: | 17520 Meridian E Suite F Puyallup, WA - 983756265 |
Business Phone Number: | 2538647595 |
Business Fax Number: | 2538640457 |
Mailing Address: | 9315 Gravelly Lake Dr Sw, Suite 306 LAKEWOOD |
State: | WA |
Postal Code: | 984991574 |
Phone Number: | 2535815200 |
Fax Number: | 2535815203 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00006407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |