MEDICARE: JAMARCUS BEASLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT144836	TX

General Provider Information

NPI Number	:	1265227235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMARCUS BEASLEY

Provider Business Mailing Address
First Line	:	7424 LITTLE ROCK LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76120-2444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7424 LITTLE ROCK LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76120-2444
Country	:	US
Telephone Number	:	682-222-3270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	04/10/2025

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Directions to “ JAMARCUS BEASLEY ” Practice Location

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