Provider Demographics
NPI:1548527468
Name:PETREY, BELINDA BECKER (PT)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:BECKER
Last Name:PETREY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:LEE
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:10748 HOBBS STATION RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2698
Mailing Address - Country:US
Mailing Address - Phone:502-931-9195
Mailing Address - Fax:
Practice Address - Street 1:10748 HOBBS STATION RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-2698
Practice Address - Country:US
Practice Address - Phone:502-931-9195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0040152251G0304X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics