Individual
BETHANY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2222 N LINCOLN AVE, YORK, NE 68467-1030
(402) 362-6671
Mailing address
2222 N LINCOLN AVE, YORK, NE 68467-1030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
881
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225100000X
—
NE
Enumeration date
04/06/2015
Last updated
04/06/2015
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