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Bethany D Richerson, MPT

Physical Therapist in Bowling Green, KY. Individual provider (NPI-1).

NPI number1750366175
StatusActive
Last updated in NPPESJul 2, 2013

Details

NPI
1750366175
Entity type
Individual (NPI-1)
Name
Bethany D Richerson
Credential
MPT
Sex
Female
Sole proprietor
No
Enumeration date
Dec 8, 2005
Last updated
Jul 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist004243KYYes
225100000X Physical Therapist05007579AIN

Practice location

165 Natchez Trace Ave
Ste 200
Bowling Green, KY 42103-7940

Phone 270-796-4698 · Fax 270-782-3274

Mailing address

165 Natchez Trace Ave
Ste 200
Bowling Green, KY 42103-7940

Phone 270-796-4698 · Fax 270-782-3274

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