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Beau Alstatt, pta

Physical Therapy Assistant in Louisville, KY. Individual provider (NPI-1).

NPI number1477083004
StatusActive
Last updated in NPPESJun 15, 2017

Details

NPI
1477083004
Entity type
Individual (NPI-1)
Name
Beau Alstatt
Credential
pta
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2017
Last updated
Jun 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistanta00809KYYes

Practice location

9127 Galene Dr
Louisville, KY 40299-1579

Phone 502-896-8147

Mailing address

330 Twelve Oaks Dr
Mount Washington, KY 40047-7232

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