Individual
BETHANY ROMESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, PTA
Contact information
Practice address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 991-2561
Mailing address
198 COLLEGE HILL RD, CLINTON, NY 13323-1295
(315) 859-4893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
007133
NY
225200000X
Physical Therapy Assistant
1900-19
WI
2255A2300X
Athletic Trainer
Primary
002302
NY
2255A2300X
Athletic Trainer
1362
WI
Other
Enumeration date
02/05/2015
Last updated
02/03/2025
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