Most Relevant Information
Provider Data
| NPI Number: | 1003238775 |
| Provider Name: | BETHANY YOUNGBLOOD PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 05003264A |
Most Important Dates
| Enumeration Date: | 01/14/2014 |
| Last Updated: | 01/14/2014 |
Provider Practice Location
402 S RICHLAND CREEK DR
STE A
PRINCETON
IN
476709570
Practice Location Phone/Fax
| Phone: | 8127534549 |
| Fax: | 8127534552 |
Provider Mailing Location
PO BOX 6890
EVANSVILLE
IN
477190890
Provider Mailing Phone/Fax
| Phone: | 8124913856 |
| Fax: | 8124911269 |