Provider Demographics
NPI:1598321549
Name:COWART, BETHANY KATE (DPT)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:KATE
Last Name:COWART
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 ASBURY DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-4707
Mailing Address - Country:US
Mailing Address - Phone:706-483-9761
Mailing Address - Fax:706-529-5858
Practice Address - Street 1:1300 CLEO WAY
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8442
Practice Address - Country:US
Practice Address - Phone:706-226-5533
Practice Address - Fax:706-428-0033
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty