Provider Demographics
NPI:1407679384
Name:SNEARY-BEACHY, KATHARINE (LMT)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:SNEARY-BEACHY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16823 STANZA CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1096
Mailing Address - Country:US
Mailing Address - Phone:813-727-8388
Mailing Address - Fax:
Practice Address - Street 1:2901 W BUSCH BLVD STE 604
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4568
Practice Address - Country:US
Practice Address - Phone:813-767-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA44773225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty