IndividualActive
Bethel Gilmore, PTA
NPI 1508460593 · Physical Therapy Assistant · Carencro, LA
Provider details
- NPI number
- 1508460593
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A1939R (LA)
Mailing address
Po Box 849
Jennings, LA 70546-0849
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.