Individual
BETHANY SUE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 PINE ST, AXTELL, KS 66403-9617
(785) 736-2798
Mailing address
606 PINE ST, AXTELL, KS 66403-9617
(785) 736-2798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1051
KS
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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