IndividualActive
Bethany Siebelink, P.T.A.
NPI 1679922454 · Physical Therapy Assistant · Grants Pass, OR
Provider details
- NPI number
- 1679922454
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 09299 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2075 Nw Highland Ave
Grants Pass, OR 97526-3310
Phone: (541) 476-8891
Approximate (ZIP-level) locationGet directions
Mailing address
12605 Blackfoot Trl
Austin, TX 78729-7704
Registry dates
- Enumerated
- 2016-06-13
- Last updated
- 2021-09-08
- Certified
- 2021-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.