MEDICARE: BEING TCM, LLC

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
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1528894771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEING TCM, LLC

Provider Business Mailing Address
First Line	:	608 E CLARKE ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2925
Country	:	US
Telephone Number	:	262-212-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	608 E CLARKE ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2925
Country	:	US
Telephone Number	:	262-212-7930
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ANNE PUTRA
Credential	:	LAC
Telephone Number	:	262-470-1843

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	09/12/2024

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Directions to “BEING TCM, LLC ” Practice Location

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