Individual ProviderKimberly Johnston BeasleyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address175 Medpark Dr Ste 1, Somerset, KY 42503(606) 679-1761PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Johnston Beasley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1700095031Provider TypeIndividualFull NameJohnston Beasley, KimberlyTitleMrs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date5/22/2007Last Updated10/25/2018Contact InformationPractice LocationPractice Address175 Medpark Dr Ste 1, Somerset, KY 42503Phone(606) 679-1761Fax(606) 678-9071Mailing LocationMailing Address304 Cedar Hill Farm Rd, Somerset, KY 42501-6227Phone(606) 679-1761Fax(502) 839-9763Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense001520Kentucky