Provider Demographics
NPI:1457304354
Name:BETSCH, DANA LYNNE (PT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:LYNNE
Last Name:BETSCH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LYNNE
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2500 RACQUET LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-6114
Mailing Address - Country:US
Mailing Address - Phone:509-249-3900
Mailing Address - Fax:509-573-9539
Practice Address - Street 1:2500 RACQUET LN
Practice Address - Street 2:SUITE 100
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-6114
Practice Address - Country:US
Practice Address - Phone:509-249-3900
Practice Address - Fax:509-573-9539
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0328BEOtherREGENCE
WA0330BEOtherREGENCE
WA0263921OtherDEPT OF L&I
WA0326BEOtherREGENCE
WA2750BEOtherREGENCE BLUE SHIELD
WA8343774Medicaid
WA8906633OtherWA STATE CRIME VICTIMS
WA00001197320OtherUNITED HEALTHCARE
WA0332BEOtherREGENCE
WA0263920OtherDEPT OF L&I
WA0325BEOtherREGENCE
WAP00870248OtherRAILROAD MEDICARE
WA0263922OtherDEPT OF L&I
WA0333BEOtherREGENCE
WA0327BEOtherREGENCE
WA0331BEOtherREGENCE
WA01999210OtherWA STATE L&I
WA0329BEOtherREGENCE
WA00001197320OtherUNITED HEALTHCARE
WA0325BEOtherREGENCE
WA0327BEOtherREGENCE
WA0330BEOtherREGENCE
WAP34083Medicare UPIN