Brian Betz
Individual provider Active NPI Athletic Trainer · West Terre Haute, IN
NPI 1306357207 · NPPES record last updated Oct 18, 2017
Key facts
- NPI
- 1306357207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36002632A (IN)
- Practice address
- 4590 W Sarah Myers Dr
West Terre Haute, IN 47885-9507 - Phone
- (631) 487-5667
- NPI assigned
- Oct 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002632A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002632A | IN | Yes |
Addresses
Primary practice location
4590 W Sarah Myers Dr
West Terre Haute, IN 47885-9507
Mailing address
4590 W Sarah Myers Dr
West Terre Haute, IN 47885-9507
Other providers in West Terre Haute, IN
- Esther Louise Allen
- Mary Ellen Barton
- Robyn Brailey
- Caring Companions Healthcare Inc
- Sarah Cheesman
- Stephanie Lorraine Combs
- Elizabeth Jane Conley
All providers in West Terre Haute, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.