MEDICARE: BETH HARRINGTON 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	227.010165	IN

General Provider Information

NPI Number	:	1962733865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH HARRINGTON LMT

Provider Business Mailing Address
First Line	:	1320 W DIVERSEY PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1208
Country	:	US
Telephone Number	:	716-462-8724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1834 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1312
Country	:	US
Telephone Number	:	773-227-9150
Fax Number	:

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

Provider Enumeration Date	:	01/18/2010
Last Update Date	:	01/18/2010

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