Bethann Patricia Vetter, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA22362 Issued in FL

Practice address

2902 Isabella Blvd
Suite 50
Jacksonville Beach, FL 32250-8005

Phone

(904) 707-5029

Fax

(904) 241-7132

NPI assigned

Jun 30, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1174810956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 ISABELLA BLVD",
            "address_2": "SUITE 50",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508005",
            "telephone_number": "904-707-5029",
            "fax_number": "904-241-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 ISABELLA BLVD",
            "address_2": "SUITE 50",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508005",
            "telephone_number": "904-707-5029",
            "fax_number": "904-241-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTER",
        "first_name": "BETHANN",
        "middle_name": "PATRICIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA22362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Augustine Vazquez, DO
• Raziel Velgis, DDS, MSD
• Alexa Verzwyvelt
• Edgar Vesce, D.C.
• Anthony M Vetere, MD
• Tony Villena, MD
• Lindsay Vines, APRN
• Erin Vinski, LCSW
• Johanna Coutinho Vogt, MS, RDN, LD
• Ann Vonthron, M.D.

• Mechanotherapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.