Beaty, Kristie Ann

Beaty, Kristie Ann is an sole proprietor health care provider with primary practice located at 1597 Lehigh St , Allentown PA 18103-3813. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beaty, Kristie Ann can be contacted via phone (610) 791-4833.

Contact Information

Primary practice address
1597 Lehigh St Allentown PA 18103-3813
Phone: (610) 791-4833
Fax: (610) 791-1633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT016487 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01111500 New Jersey

Profile Details

NPI number 1639174089
LBN Legal business name Beaty, Kristie Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jan 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639174089 NPPES
Pennsylvania MEDICAID 101086272

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