Provider Demographics
NPI:1699932582
Name:JESSOP, BETHANY JOY (OTR)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:JOY
Last Name:JESSOP
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:BETHANY
Other - Middle Name:JOY
Other - Last Name:KEMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:480 W CALEY DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-3430
Mailing Address - Country:US
Mailing Address - Phone:720-232-0911
Mailing Address - Fax:
Practice Address - Street 1:10102 E 29TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3025
Practice Address - Country:US
Practice Address - Phone:303-432-8487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist