Individual
BETHANY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
23 BUENA VISTA DR, BRICK, NJ 08723-7458
(732) 642-9272
Mailing address
23 BUENA VISTA DR, BRICK, NJ 08723-7458
(732) 642-9272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01370600
NJ
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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