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NPI Code Detail

MEDICARE: BETH LYNN BARRETT LMT

MEDICARE: BETH LYNN BARRETT LMT
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
1225700000XMassage Therapist14769OH

General Provider Information

NPI Number : 1497892129
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH LYNN BARRETT LMT
Provider Business Mailing Address
First Line : 1101 CHESTNUT ST
Second Line : PO BOX 687
City : COSHOCTON
State : OH
Zip : 43812-1323
Country : US
Telephone Number : 740-622-3553
Fax Number : 740-622-5270
Provider Business Practice Location Address
First Line : 1101 CHESTNUT ST
Second Line :
City : COSHOCTON
State : OH
Zip : 43812-1323
Country : US
Telephone Number : 740-622-3553
Fax Number : 740-622-5270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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Directions to “ BETH LYNN BARRETT LMT” Practice Location

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