Provider Demographics
NPI:1245340629
Name:BEYOR, CARA L (PT)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:L
Last Name:BEYOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:L
Other - Last Name:DESAUTELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:184 ROUTE 7 SOUTH
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-0776
Mailing Address - Country:US
Mailing Address - Phone:802-893-7427
Mailing Address - Fax:802-893-7429
Practice Address - Street 1:184 ROUTE 7 SOUTH
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-0776
Practice Address - Country:US
Practice Address - Phone:802-893-7427
Practice Address - Fax:802-893-7429
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400003521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
392302OtherMVP HEALTH CARE
650025147OtherRAILROAD MC
VT00059192OtherBLUE CROSS BLUE SHIELD
VT1009380Medicaid
VT00059192OtherBLUE CROSS BLUE SHIELD