IndividualActive
Bethany Jack
NPI 1336413764 · Developmental Therapist · Maysville, KY
Provider details
- NPI number
- 1336413764
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000083087 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
382 Bon Haven Rd
Maysville, KY 41056-9702
Phone: (606) 584-0518
Approximate (ZIP-level) locationGet directions
Mailing address
382 Bon Haven Rd
Maysville, KY 41056
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2012-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.