Sarah Beatty, ATC, LAT

Individual provider Active NPI Athletic Trainer · Georgetown, KY

NPI 1629458229 · NPPES record last updated Jun 9, 2015

Key facts

NPI
1629458229
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT1189 (KY)
Practice address
400 E College St
Georgetown, KY 40324-1628
Phone
(503) 863-7032
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT1189KYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT1189 KY Yes

Addresses

Primary practice location

400 E College St
Georgetown, KY 40324-1628

Mailing address

400 E College St
Georgetown, KY 40324-1628
Phone (503) 863-7032

Other providers in Georgetown, KY

All providers in Georgetown, KY · Athletic Trainer in Kentucky

Sources for this page

Verify at the official NPI Registry.