Individual
BETH HENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
1318 SW LYNN DR, ANKENY, IA 50023-2715
(515) 309-2129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01377
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71145
WELLMARK BCBS OF IOWA
IA
Enumeration date
03/05/2008
Last updated
03/05/2008
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