Individual provider · Type 1 NPI

Bethany Licht, PT

Pediatric Physical Therapist · Killeen, TX

NPI number 1659507648 Active

Practice location

1102 Winkler Ave
Killeen, TX 76542-6249

Call (254) 634-8505 Map

Fax (254) 519-3477

Mailing address

3808 Westfield Dr
College Station, TX 77845-7285

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X3107280 (TX)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1659507648

Bethany Licht, PT's National Provider Identifier is 1659507648, issued on Jun 3, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Killeen, TX. The record was last updated on Jun 3, 2009.