Provider Demographics
NPI:1760706972
Name:BECK, JANELLE N (LMP)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:N
Last Name:BECK
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 NW FOLSOM ST
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-1745
Mailing Address - Country:US
Mailing Address - Phone:360-520-1446
Mailing Address - Fax:
Practice Address - Street 1:272 NW PARK ST
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2023
Practice Address - Country:US
Practice Address - Phone:360-520-1446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60091123225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist