Provider Demographics
NPI:1497513899
Name:BEAUVOIR, HANS (LMT)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:
Last Name:BEAUVOIR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S WALDRON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-2589
Mailing Address - Country:US
Mailing Address - Phone:719-313-1800
Mailing Address - Fax:
Practice Address - Street 1:1401 S WALDRON RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-2591
Practice Address - Country:US
Practice Address - Phone:479-629-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9088225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist