MEDICARE: LYNNE MARIE BEESON COIT 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
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1851002554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE MARIE BEESON COIT LMT

Provider Business Mailing Address
First Line	:	6546 E 2ND ST STE C
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-3540
Country	:	US
Telephone Number	:	928-772-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	6546 E 2ND ST STE C
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-3540
Country	:	US
Telephone Number	:	928-772-4044
Fax Number	:

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

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	12/13/2022

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Directions to “ LYNNE MARIE BEESON COIT LMT” Practice Location

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