IndividualActive
Kirsten Bethancourt, DPT
NPI 1265969943 · Pediatric Physical Therapist · Phoenix, AZ
Provider details
- NPI number
- 1265969943
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12869 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4600 E Shea Blvd
Suite 101
Phoenix, AZ 85028-6024
Phone: (602) 368-8601
Approximate (ZIP-level) locationGet directions
Mailing address
4600 E Shea Blvd
Phoenix, AZ 85028-6024
Registry dates
- Enumerated
- 2017-05-12
- Last updated
- 2017-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.