Individual
JONATHAN BEOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12935 SHELBYVILLE RD, ST #106, LOUISVILLE, KY 40243-1592
(502) 489-5002
(502) 489-8002
Mailing address
1120 LA FONTENAY CT, LOUISVILLE, KY 40223-3038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005553
KY
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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