Provider Demographics
NPI:1801185525
Name:BETTCHER, KAREN L (MT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:BETTCHER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:47100 SCHOENHERR RD STE D
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-4714
Mailing Address - Country:US
Mailing Address - Phone:586-685-0505
Mailing Address - Fax:586-685-0501
Practice Address - Street 1:5000 TOWN CTR STE 2001
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-1116
Practice Address - Country:US
Practice Address - Phone:248-352-0314
Practice Address - Fax:248-281-0759
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist