Provider Demographics
NPI:1801771688
Name:BETTICH, AIMEE JEANETTE (PT, DPT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:JEANETTE
Last Name:BETTICH
Suffix:
Gender:X
Credentials:PT, DPT
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:JEANETTE
Other - Last Name:CONNAUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:17888 ORLANDO AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-9652
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:916 8TH ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-1438
Practice Address - Country:US
Practice Address - Phone:651-460-4201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11079225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist