Provider Demographics
NPI:1134738073
Name:BEEMAN, TAYLOR (LMT)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1176 OLD LANCASTER PIKE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9209
Mailing Address - Country:US
Mailing Address - Phone:484-664-0071
Mailing Address - Fax:
Practice Address - Street 1:3130 PRICETOWN RD
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:PA
Practice Address - Zip Code:19522-8750
Practice Address - Country:US
Practice Address - Phone:610-944-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG013661225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist