MEDICARE: RACHEL ELIZABETH BEANLAND

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	225100000X	Physical Therapist	2016027246	MO

General Provider Information

NPI Number	:	1063377661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELIZABETH BEANLAND

Provider Business Mailing Address
First Line	:	1601 E BROADWAY
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-8020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 E BROADWAY
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-8020
Country	:	US
Telephone Number	:	537-815-8000
Fax Number	:

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ RACHEL ELIZABETH BEANLAND ” Practice Location

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