Provider Demographics
NPI:1073897955
Name:BEYER, NATALIE KIMBERLIN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:KIMBERLIN
Last Name:BEYER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 HARBOR HILLS TRCE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-7720
Mailing Address - Country:US
Mailing Address - Phone:502-389-0352
Mailing Address - Fax:502-451-2740
Practice Address - Street 1:4216 HARBOR HILLS TRCE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-7720
Practice Address - Country:US
Practice Address - Phone:502-389-0352
Practice Address - Fax:502-451-2740
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist