Bethke, Cheryl Ann

Bethke, Cheryl Ann is an individual health care provider with primary practice located at 1252 Broadway Suite B, Placerville CA 95667-5806. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bethke, Cheryl Ann can be contacted via phone (530) 622-9410.

Contact Information

Primary practice address
1252 Broadway Suite B Placerville CA 95667-5806
Phone: (530) 622-9410
Fax: (530) 622-9445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT14686 California

Profile Details

NPI number 1669420352
LBN Legal business name Bethke, Cheryl Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 18th, 2007 - about 17 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 1669420352 NPPES
California Other PT14686 PHYSICAL THERAPY LICENSE

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