Individual
ALEXIS BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
Mailing address
PO BOX 3612, PALMER, AK 99645-3612
(907) 414-1207
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
221692
AK
235Z00000X
Speech-Language Pathologist
Primary
243917
AK
Other
Enumeration date
04/01/2024
Last updated
08/19/2025
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