National Provider Identifier
Lisa Danette Beaudry, PT, DPT
Lisa Danette Beaudry, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Jamestown, NY and a listed phone number of (716) 665-1166.
Profile Overview
- NPI
- 1376566752
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 26, 2006
- Last Updated
- March 26, 2015
Practice Location
- 774 Fairmount Ave
- Jamestown
- Jamestown, NY 14701-2609
Phone: (716) 665-1166
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1376566752
- Entity Type
- Individual
- Last Name
- Beaudry
- First Name
- Lisa
- Middle Name
- Danette
- Name Prefix
- MS.
- Credential
- PT, DPT
- Mailing Street Address
- 774 Fairmount Ave
- Mailing Address Line 2
- Jamestown
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2609
- Mailing Country
- US
- Mailing Phone
- (716) 665-1166
- Mailing Fax
- (866) 902-1160
- Practice Street Address
- 774 Fairmount Ave
- Practice Address Line 2
- Jamestown
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2609
- Practice Country
- US
- Practice Phone
- (716) 665-1166
- Practice Fax
- (866) 902-1160
- Enumeration Date
- July 26, 2006
- Last Updated
- March 26, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 02163564 (NY)