Provider Demographics
NPI:1699033159
Name:BEERS, KARL M (CMT)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:M
Last Name:BEERS
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3095 JACOB ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3752
Mailing Address - Country:US
Mailing Address - Phone:313-293-8786
Mailing Address - Fax:
Practice Address - Street 1:30095 NORTHWESTERN HWY STE 40A
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3290
Practice Address - Country:US
Practice Address - Phone:248-626-6277
Practice Address - Fax:248-626-1640
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist