Provider Demographics
NPI:1740595750
Name:KLAPPERICH, BEVERLY JO (LMT, CNA, HHA)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:JO
Last Name:KLAPPERICH
Suffix:
Gender:F
Credentials:LMT, CNA, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 US HIGHWAY 93 S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5721
Mailing Address - Country:US
Mailing Address - Phone:406-249-7692
Mailing Address - Fax:
Practice Address - Street 1:1845 US HIGHWAY 93 S
Practice Address - Street 2:SUITE 202
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5721
Practice Address - Country:US
Practice Address - Phone:406-249-7692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT616225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist