Healthcare Provider Details

I. General information

NPI: 1942208897
Provider Name (Legal Business Name): BETSY J SUGGS P.T.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SAINT JOHNSBURY RD
LITTLETON NH
03561-3442
US

IV. Provider business mailing address

600 SAINT JOHNSBURY RD
LITTLETON NH
03561-3442
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-9530
  • Fax: 603-444-9361
Mailing address:
  • Phone: 603-444-9530
  • Fax: 603-444-9361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTE005453L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1337
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: