IndividualActive
Bethany Licht, PT
NPI 1659507648 · Pediatric Physical Therapist · Killeen, TX
Provider details
- NPI number
- 1659507648
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3107280 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1102 Winkler Ave
Killeen, TX 76542-6249
Phone: (254) 634-8505
Fax: (254) 519-3477
Approximate (ZIP-level) locationGet directions
Mailing address
3808 Westfield Dr
College Station, TX 77845-7285
Registry dates
- Enumerated
- 2009-06-03
- Last updated
- 2009-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.