Provider Demographics
NPI:1235398553
Name:BEADLING, NANCY JANE (CFOM, CMT, CLT,COTA/)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JANE
Last Name:BEADLING
Suffix:
Gender:F
Credentials:CFOM, CMT, CLT,COTA/
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247A LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHINA
Mailing Address - State:ME
Mailing Address - Zip Code:04358-5616
Mailing Address - Country:US
Mailing Address - Phone:207-624-2997
Mailing Address - Fax:
Practice Address - Street 1:247A LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:SOUTH CHINA
Practice Address - State:ME
Practice Address - Zip Code:04358-5616
Practice Address - Country:US
Practice Address - Phone:207-624-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Z00000X
ME37578225700000X
MEOA2580174400000X
MEMT714174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No174400000XOther Service ProvidersSpecialist