BEAU ALSTATT

LOUISVILLE, KY
NPI1477083004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A00809)
Enumeration Date2017-06-15
Last Update Date2017-06-15
Business Address
BEAU ALSTATT PTA
9127 GALENE DR
LOUISVILLE, KY 40299-1579
Phone number: 502-896-8147
Mailing Address
BEAU ALSTATT PTA
330 TWELVE OAKS DR
MOUNT WASHINGTON, KY 40047-7232
Phone number: