MEDICARE: JASON BETHEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT134519	TX

General Provider Information

NPI Number	:	1467248005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON BETHEL

Provider Business Mailing Address
First Line	:	9502 FAIRLAND DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-3119
Country	:	US
Telephone Number	:	346-900-6276
Fax Number	:

Provider Business Practice Location Address
First Line	:	2646 S LOOP W STE 400B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2676
Country	:	US
Telephone Number	:	346-284-7957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	04/18/2025

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Directions to “ JASON BETHEL ” Practice Location

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