Provider Demographics
NPI:1235385733
Name:BEATTIE, SONYA (PT)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:BEATTIE
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 1:20 OAK HILL RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-1002
Mailing Address - Country:US
Mailing Address - Phone:606-678-8566
Mailing Address - Fax:606-677-2775
Practice Address - Street 1:20 OAK HILL RD
Practice Address - Street 2:SUITE 8
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-1002
Practice Address - Country:US
Practice Address - Phone:606-678-8566
Practice Address - Fax:606-677-2775
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist