Individual provider · Type 1 NPI
Bethany J. Desimone, ATC
Sports Medicine (Preventive Medicine) Physician · Bellevue, WA
NPI number
1306136643
Active
Practice location
1750 112th Ave NE Ste D154
Bellevue, WA 98004-3727
Fax (425) 643-6448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | A1 60045357 (WA) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
About NPI 1306136643
Bethany J. Desimone, ATC's National Provider Identifier is 1306136643, issued on Apr 7, 2011. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Bellevue, WA. The record was last updated on Apr 7, 2011.