# DR. BETHANY NICOLE LIGHT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457198335
- **Gender:** F
- **Credential:** DPT, PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 12660 | SC | Yes |
| 225100000X | Physical Therapist | CP026561T | TX | — |
| 225100000X | Physical Therapist | CP031858T | ND | — |
| 225100000X | Physical Therapist | PT5020 | AR | — |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 01/03/2025