Individual
BEAU ALSTATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9127 GALENE DR, LOUISVILLE, KY 40299-1579
(502) 896-8147
Mailing address
330 TWELVE OAKS DR, MOUNT WASHINGTON, KY 40047-7232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00809
KY
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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