Tyler Beauchamp, LMT

NPI #1932329679 in Eagan, Minnesota

Provider Information

NPI Number: 1932329679
Entity Type: Individual
Name: Tyler Beauchamp, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3390 COACHMAN
City: Eagan
State: Minnesota
ZIP Code: 55121
Phone: (651) 452-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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