Green, Bethany Theresa

Green, Bethany Theresa is an sole proprietor health care provider with primary practice located at 1002 Nw 23Rd Ave , Gainesville FL 32609-5403. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Green, Bethany Theresa can be contacted via phone (352) 494-5552.

Contact Information

Primary practice address
1002 Nw 23Rd Ave Gainesville FL 32609-5403
Phone: (352) 494-5552
Fax: (352) 505-3631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA83311 Florida

Profile Details

NPI number 1104363126
LBN Legal business name Green, Bethany Theresa
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2017
Last updated Jan 28th, 2017 - about 9 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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