Doctor Name: | DR. BETH UNDERWOOD COON |
NPI Number: | 1285814145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, CHT |
License Number: | 002242 |
Business Practice Address: | 535 Marsailles Rd Versailles, KY - 403831911 |
Business Phone Number: | 8598793560 |
Business Fax Number: | 8598793564 |
Mailing Address: | 535 Marsailles Rd, VERSAILLES |
State: | KY |
Postal Code: | 403831911 |
Phone Number: | 8598793560 |
Fax Number: | 8598793564 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251H1200X |
License Number: | 002242 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |