Individual
BETH UNDERWOOD COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CHT
Contact information
Practice address
535 MARSAILLES RD, VERSAILLES, KY 40383-1911
(859) 879-3560
(859) 879-3564
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002242
KY
2251H1200X
Hand Physical Therapist
002242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000540474
BCBS
KY
01
—
20-4579943
HUMANA
KY
01
—
611938100
US DEPT OF LABOR WC
KY
01
—
7311873
AETNA
KY
Enumeration date
11/08/2007
Last updated
04/24/2023
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