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NPI Code Detail

MEDICARE: BETTINA J. KEPPY PT

MEDICARE: BETTINA J. KEPPY PT
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
1225100000XPhysical Therapist03384IA

General Provider Information

NPI Number : 1699889345
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTINA J. KEPPY PT
Provider Business Mailing Address
First Line : 1801 HICKMAN RD
Second Line :
City : DES MOINES
State : IA
Zip : 50314-1548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 HICKMAN RD
Second Line :
City : DES MOINES
State : IA
Zip : 50314-1548
Country : US
Telephone Number : 515-282-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 05/29/2020

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