Individual
JENNI BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 LAWSON DR STE 4, GEORGETOWN, KY 40324-9696
(502) 642-5400
(502) 642-5411
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
303916
KY
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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