IndividualActive
Bethany Desimone, ATC
NPI 1306136643 · Sports Medicine (Preventive Medicine) Physician · Bellevue, WA
Provider details
- NPI number
- 1306136643
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- A1 60045357 (WA)
Practice location
1750 112th Ave Ne Ste D154
Bellevue, WA 98004-3727
Phone: (425) 643-9778
Fax: (425) 643-6448
Mailing address
1750 112th Ave Ne Ste D154
Bellevue, WA 98004-3727
Registry dates
- Enumerated
- 2011-04-07
- Last updated
- 2011-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.