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NPI Code Detail

MEDICARE: KORRIN BEALS L.M.T, L.M.P

MEDICARE: KORRIN BEALS L.M.T, L.M.P
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
1111NI0013XIndependent Medical Examiner ChiropractorMA60483443WA

General Provider Information

NPI Number : 1790182517
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORRIN BEALS L.M.T, L.M.P
Provider Business Mailing Address
First Line : 3933 STONE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8017
Country : US
Telephone Number : 206-588-0014
Fax Number : 206-577-3599
Provider Business Practice Location Address
First Line : 3933 STONE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8017
Country : US
Telephone Number : 206-588-0014
Fax Number : 206-577-3599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2014
Last Update Date : 11/21/2014

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Directions to “ KORRIN BEALS L.M.T, L.M.P” Practice Location

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