Individual
MS. BETHANIE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6035
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6035
PT LICENSE
OK
01
—
CP043646T
COMPACT LICENSE
WI
Enumeration date
07/06/2021
Last updated
05/23/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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