Provider Demographics
NPI:1487281242
Name:WESPETAL, BETH ANNE (PT, DPT, GCS)
Entity type:Individual
Prefix:
First Name:BETH ANNE
Middle Name:
Last Name:WESPETAL
Suffix:
Gender:F
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2038 MAINSTREET
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-7433
Mailing Address - Country:US
Mailing Address - Phone:845-536-7855
Mailing Address - Fax:
Practice Address - Street 1:8000 BASS LAKE RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428-3118
Practice Address - Country:US
Practice Address - Phone:712-278-7261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics