Baker, Bethany

Baker, Bethany is an individual health care provider with primary practice located at 782 Weatherly Dr , Clarksville TN 37043-8941. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Baker, Bethany can be contacted via phone (931) 645-3552.

Contact Information

Primary practice address
782 Weatherly Dr Clarksville TN 37043-8941
Phone: (931) 645-3552
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 6449 Tennessee

Profile Details

NPI number 1073179537
LBN Legal business name Baker, Bethany
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2019
Last updated Jun 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073179537 NPPES
Tennessee Other 136412159 DRIVERS LICENSE

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