Provider Demographics
NPI:1346382694
Name:DONINGER, BETHANY DUNN (PT, MSPT)
Entity Type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:DUNN
Last Name:DONINGER
Suffix:
Gender:F
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BACK STRETCH DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9677
Mailing Address - Country:US
Mailing Address - Phone:502-570-4723
Mailing Address - Fax:859-654-1060
Practice Address - Street 1:1308 W SHELBY ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:KY
Practice Address - Zip Code:41040-9229
Practice Address - Country:US
Practice Address - Phone:859-654-6200
Practice Address - Fax:859-654-1060
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist