Individual
BETHANY ALAINE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPO, CPO
Contact information
Practice address
1 MERCARDO ST, SUITE 203, DURANGO, CO 81301
(505) 415-1519
Mailing address
1415 HIGH FLUME DR, DURANGO, CO 81303-8410
(505) 415-1519
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO05189
CO
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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