Individual
BETHANY SIEBELINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2075 NW HIGHLAND AVE, GRANTS PASS, OR 97526-3310
(541) 476-8891
Mailing address
12605 BLACKFOOT TRL, AUSTIN, TX 78729-7704
(512) 701-8972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09299
OR
225200000X
Physical Therapy Assistant
Primary
5036
MD
Other
Enumeration date
06/13/2016
Last updated
09/08/2021
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