Individual provider · NPI-1

Bethany Hannum

Specialist/Technologist, Athletic Trainer · Marlton, NJ

NPI number1457023913
StatusActive
Last updated in NPPESJun 10, 2026

Details

NPI
1457023913
Entity type
Individual (NPI-1)
Name
Bethany Hannum
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2021
Certification date
Jun 10, 2026
Last updated
Jun 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer25MT00352600NJYes

Practice location

999 Nj-73
401
Marlton, NJ 08053

Phone 800-321-9999

Mailing address

999 Nj-73
401
Marlton, NJ 08053

Phone 800-321-9999

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