Individual
AJA BETHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10600 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-6005
(314) 283-6955
Mailing address
5368 SUNTRAIL DR, BLACK JACK, MO 63033-4425
(314) 283-6955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006003768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006003768
STATE LICENSE
MO
Enumeration date
03/27/2012
Last updated
12/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us