Individual
BETHANY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
Mailing address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
005957
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005957
KY LICENSE
KY
Enumeration date
04/24/2015
Last updated
04/24/2015
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