Individual provider · Type 1 NPI
Bethany Paj Tsis Thawj Xiong-Koon
Student in an Organized Health Care Education/Training Program · Greeley, CO
NPI number
1053245324
Active
Practice location
1600 23rd Ave
Greeley, CO 80634-6070
Mailing address
2639 W 104th Ct
Westminster, CO 80234-3509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | TL.0011613 (CO) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1053245324
Bethany Paj Tsis Thawj Xiong-Koon's National Provider Identifier is 1053245324, issued on Jun 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greeley, CO. The record was last updated on Jun 19, 2026.