Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Bethany Dawn Jack

Individual provider Developmental Therapist · NPI 1336413764

Mrs. Bethany Dawn Jack is a Developmental Therapist in Maysville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2012
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

382 Bon Haven Rd
Maysville, KY 41056-9702
Phone: (606) 584-0518
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 000083087 (KY)

Record details

NPI number1336413764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 2, 2012
Mailing address382 Bon Haven Rd, Maysville, KY 41056

Other providers in Maysville