Individual provider · Type 1 NPI

Beulah Suzanne Carpenter, LMT

Massage Therapist · Lake Geneva, WI

NPI number 1053948216 Active

Practice location

700 Geneva Pkwy N
Lake Geneva, WI 53147-4594

Call (262) 249-3500 Map

Mailing address

N1495 Brick School Rd
Walworth, WI 53184-5708

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4607-146 (WI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1053948216

Beulah Suzanne Carpenter, LMT's National Provider Identifier is 1053948216, issued on Mar 26, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Geneva, WI. The record was last updated on Mar 26, 2020.