Provider Demographics
NPI:1699889345
Name:KEPPY, BETTINA J (PT)
Entity type:Individual
Prefix:
First Name:BETTINA
Middle Name:J
Last Name:KEPPY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:BETTINA
Other - Middle Name:J
Other - Last Name:KEPPY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPY, FAAOMPT
Mailing Address - Street 1:1801 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1548
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1548
Practice Address - Country:US
Practice Address - Phone:515-282-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist