| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BETHANY SUE HARLAN | 1669118188 | 2022-05-08 |
Bethany Sue Harlan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669118188. Registration indicates Bethany Sue Harlan is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Mrs. Bethany Sue Harlan MAT, LAT, ATC |
| Practice Office Address | 1 BURDEN CT ALEXANDRIA, IN US |
| Practice Office Telephone | 7657244413 |
| Mailing Address | 2014 E 100 N ANDERSON, IN 460129602 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2610 Enterprise Dr | Anderson, IN 460139684 | 8006226575 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |