Provider Demographics
NPI:1174301600
Name:ATKINSON, BETHANY RACHEL
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:RACHEL
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44411-0290
Mailing Address - Country:US
Mailing Address - Phone:234-268-3719
Mailing Address - Fax:
Practice Address - Street 1:7950 YALE RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:OH
Practice Address - Zip Code:44411-9709
Practice Address - Country:US
Practice Address - Phone:234-268-3719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No172A00000XOther Service ProvidersDriver