Bethanie Nicole Funderburk, DPT is a 
Physical Therapist based in Conrad, Montana. Bethanie Nicole Funderburk is licensed to practice in Montana (license number 13101) and her current practice location is 
805 Sunset Blvd, Conrad, Montana. She can be reached at her office (for appointments etc.) via phone at 
(406) 271-2222.
NPI number for Bethanie Nicole Funderburk is 1568973857 and her current mailing address is 805 Sunset Blvd, Conrad, Montana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568973857.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Bethanie Nicole Funderburk | 
|---|
| Gender | Female | 
|---|
| Speciality | Physical Therapist | 
|---|
| Location | 805 Sunset Blvd, Conrad, Montana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1568973857
 - Provider Enumeration Date: 10/13/2017
 - Last Update Date: 03/17/2018
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Bethanie Nicole Funderburk such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1568973857 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 225100000X | Physical Therapist  | 13101 (Montana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethanie Nicole Funderburk is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Bethanie Nicole Funderburk, DPT 805 Sunset Blvd, Conrad, MT 59425-1717 Ph: () - | Bethanie Nicole Funderburk, DPT 805 Sunset Blvd, Conrad, MT 59425-1717 Ph: (406) 271-2222 | 
		
		 
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