TYLER BEAUCHAMP (NPI# 1932329679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932329679 |
| Entity Type | Individual |
| Full Name | TYLER BEAUCHAMP |
| Credential | LMT |
| Practice Address |
3390 Coachman Eagan MN 55121 |
| Mailing Address |
3390 Coachman Road Eagan MN 55121 |
| Practice Telephone | 6514524220 |
| Practice Fax Number | 6514523829 |
| Mailing Telephone | 6514524220 |
| Mailing Fax Number | 6514523829 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485505 | Tyler Beauchamp | Physical Therapy Assistant | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2020-10-22 |
| 1952966327 | Tyler Shaquille Beauchamp | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3834 | 2019-05-01 |
| Street Address |
3390 COACHMAN |
| City | EAGAN |
| State | MN |
| Zip Code | 55121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578783064 | James Wallisch | Massage Therapist | 3390 Coachman, Eagan, MN 55121 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646223 | Cindy Lee | Massage Therapist | 4590 Scott Trl Ste 110, Eagan, MN 55122-4041 | 2019-12-17 |
| 1770901274 | Vadim Juravitski | Massage Therapist | 3212 Valley Ridge Dr, Eagan, MN 55121-1723 | 2014-04-01 |
| 1063836591 | A Touch of Solitude | Massage Therapist | 3440 Federal Drive Suite 140, Eagan, MN 55122 | 2014-02-04 |
| 1346512670 | Zoe Vaughter | Massage Therapist | 3390 Coachman Rd Ste 214, Eagan, MN 55121-1800 | 2012-02-02 |
| 1235455841 | Veronica D Suvid | Massage Therapist | 4590 Scott Trail, Suite 110, Eagan, MN 55122 | 2010-04-08 |
| 1013137637 | Debra Julie Krueger-pryor | Massage Therapist | 3390 Coachman Rd, Eagan, MN 55121-1800 | 2007-04-26 |
| 1174743751 | Julie Lynn Marz | Massage Therapist | 3390 Coachman Road, Eagan, MN 55121 | 2007-04-26 |
| 1255954475 | Karen Elorduy | Massage Therapist | 4590 Scott Trl Ste 110, Eagan, MN 55122-5250 | 2020-05-21 |
| 1891298527 | Carolyn Jane Wharton | Massage Therapist | 3390 Coachman Rd Ste 214, Eagan, MN 55121-1800 | 2018-03-08 |
| 1821545799 | Eva Liana Archambault | Massage Therapist | 4590 Scott Trl, Eagan, MN 55122-3331 | 2016-09-07 |
| Find all providers in EAGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.