Individual provider · Type 1 NPI

Kellie Renee Beckman, LMT

Massage Therapist · Fond Du Lac, WI

NPI number 1447918636 Active

Practice location

82 N Main St Ste 109
Fond Du Lac, WI 54935-3461

Call (920) 517-6797 Map

Mailing address

105 N Main St Uppr
Fond Du Lac, WI 54935-3459

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11602-146 (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 1447918636

Kellie Renee Beckman, LMT's National Provider Identifier is 1447918636, issued on Dec 4, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 4, 2021.