Individual provider · Type 1 NPI
Mary Lou Beach, DC, C.C.S.P.
Sports Physician Chiropractor · Bloomington, IL
Practice location
409 E Front St
Bloomington, IL 61701-5309
Fax (309) 828-2665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physician Chiropractor Primary | 111NS0005X | 038-005425 (IL) |
Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …
3 other providers at this address
About NPI 1013009083
Mary Lou Beach, DC, C.C.S.P.'s National Provider Identifier is 1013009083, issued on Sep 28, 2006. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Bloomington, IL. The record was last updated on Sep 28, 2011.