Provider Demographics
NPI:1063650059
Name:BEICH, TAMARA-JO ELIZABETH (CMT)
Entity Type:Individual
Prefix:MS
First Name:TAMARA-JO
Middle Name:ELIZABETH
Last Name:BEICH
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 STEPHENS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-6659
Mailing Address - Country:US
Mailing Address - Phone:406-207-0016
Mailing Address - Fax:
Practice Address - Street 1:2100 STEPHENS AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6659
Practice Address - Country:US
Practice Address - Phone:406-207-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist