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NPI Code Detail

MEDICARE: BEYOND WELLNESS PLLC

MEDICARE: BEYOND WELLNESS PLLC
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
1261QC1500XCommunity Health Clinic/Center
22081N0008XNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1083473383
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND WELLNESS PLLC
Provider Business Mailing Address
First Line : PO BOX 777447
Second Line :
City : HENDERSON
State : NV
Zip : 89077-7447
Country : US
Telephone Number : 833-759-8720
Fax Number : 833-428-7419
Provider Business Practice Location Address
First Line : 711 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1445
Country : US
Telephone Number : 833-759-8720
Fax Number : 833-428-7419
Authorized Official
Title or Position : PRESIDENT
Name : LISA ANDERSON
Credential :
Telephone Number : 833-759-8720
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/15/2026

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