Individual
MS. ASHLEY JO BETHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, ATC
Contact information
Practice address
1118 HAMPSHIRE ST., QUINCY, IL 62301-1851
(217) 222-6550
(217) 231-2079
Mailing address
2701 HARRISON ST APT 1, QUINCY, IL 62301-6116
(217) 653-9099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00502
KS
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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