Individual
JENNIFER BETHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, PTA
Contact information
Practice address
660 S 200 E, SALT LAKE CITY, UT 84111-3835
(801) 359-2256
Mailing address
100 N PRESTON DR, ALPINE, UT 84004-1903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
106317368019
UT
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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