MEDICARE: MELISSA BETTCHER LPT

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	225100000X	Physical Therapist	9912	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	138WK	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740229426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA BETTCHER LPT

Provider Business Mailing Address
First Line	:	612B MCCARTHY BLVD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-5231
Country	:	US
Telephone Number	:	252-635-1788
Fax Number	:	252-635-3053

Provider Business Practice Location Address
First Line	:	612B MCCARTHY BOULEVARD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-5231
Country	:	US
Telephone Number	:	252-635-1788
Fax Number	:	252-635-3053

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	10/11/2011

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Directions to “ MELISSA BETTCHER LPT” Practice Location

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