Provider Demographics
NPI:1770462962
Name:ARTHUR, JONATHAN (LMT)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SANDHILL RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:KY
Mailing Address - Zip Code:40336-8869
Mailing Address - Country:US
Mailing Address - Phone:859-358-5899
Mailing Address - Fax:
Practice Address - Street 1:2601 SANDHILL RD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-8869
Practice Address - Country:US
Practice Address - Phone:859-358-5899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY301175225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist