Bethany Jo Mathis
Developmental Therapist · Troy, IL
NPI number
1528603404
Practice location
411a Red Bud LnTroy, IL 62294-1061
- Phone
- (618) 841-6021
NPI record
- NPI
- 1528603404
- Entity type
- Individual (Type 1)
- Enumeration date
- November 14, 2019
- Last updated
- November 14, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
— | — |
Other practice locations (1)
- 1750 S Big Bend Blvd, Richmond Heights, MO 63117-2402 · (314) 776-1300
About Bethany Mathis
Bethany Jo Mathis is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 411a Red Bud Ln, Troy, IL 62294-1061. The NPI number 1528603404 was assigned on November 14, 2019 and the record was last updated on November 14, 2019.
Frequently asked questions
What is the NPI number of Bethany Jo Mathis?
The NPI number is 1528603404.
What is the phone number of Bethany Mathis?
The phone number listed for the practice location is (618) 841-6021.
Where is Bethany Mathis located?
411a Red Bud Ln, Troy, IL 62294-1061.
What is the taxonomy code for Bethany Mathis?
The primary taxonomy code is 222Q00000X – Developmental Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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