Provider Demographics
NPI:1992150874
Name:REDDY, BETH ANNE (DC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:REDDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 WINNACUNNET RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2121
Mailing Address - Country:US
Mailing Address - Phone:603-929-5000
Mailing Address - Fax:603-929-5008
Practice Address - Street 1:58 WINNACUNNET RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2121
Practice Address - Country:US
Practice Address - Phone:603-929-5000
Practice Address - Fax:603-929-5008
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor