Individual
LAURA JEAN BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
115 CAYCE AVE, HOPKINSVILLE, KY 42240-3019
(270) 886-9400
Mailing address
115 CAYCE AVE, HOPKINSVILLE, KY 42240-3019
(270) 886-4900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001693
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001693
PHYSICAL THERAPY LICENSE
KY
Enumeration date
08/05/2008
Last updated
08/05/2008
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