Provider Demographics
NPI:1164757084
Name:ARAGON, BECKY JEAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:JEAN
Last Name:ARAGON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9954 CALAVA CT
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-9093
Mailing Address - Country:US
Mailing Address - Phone:859-384-4871
Mailing Address - Fax:
Practice Address - Street 1:9954 CALAVA CT
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-9093
Practice Address - Country:US
Practice Address - Phone:859-384-4871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist