Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 8514 | CO |
NPI | 1003133844 |
---|---|
Provider Name | Daniel Beitscher |
First Address | Highlands Ranch, CO 80126-8070 |
Second Address | Highlands Ranch, CO 80126-8070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 03/05/2010 |