Provider Demographics
NPI:1992459879
Name:BETZ, CAREN (PT)
Entity type:Individual
Prefix:
First Name:CAREN
Middle Name:
Last Name:BETZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7503 JESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-7923
Mailing Address - Country:US
Mailing Address - Phone:512-579-6420
Mailing Address - Fax:512-682-0220
Practice Address - Street 1:8017 MESA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1300
Practice Address - Country:US
Practice Address - Phone:512-791-3702
Practice Address - Fax:512-682-0220
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10975822251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics