Provider Demographics
NPI:1205104122
Name:BEKSHA, CASEY LYN
Entity type:Individual
Prefix:MISS
First Name:CASEY
Middle Name:LYN
Last Name:BEKSHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 STONE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3166
Mailing Address - Country:US
Mailing Address - Phone:602-670-9204
Mailing Address - Fax:
Practice Address - Street 1:316 HARTFORD AVE STE 3
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-3010
Practice Address - Country:US
Practice Address - Phone:774-291-1742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA250256171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist