Provider Demographics
NPI:1114694924
Name:BETTINGER, JULIA M (MS)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:M
Last Name:BETTINGER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:M
Other - Last Name:BRAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:497 WEST LOTT STREET
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834
Mailing Address - Country:US
Mailing Address - Phone:307-684-6320
Mailing Address - Fax:307-684-5385
Practice Address - Street 1:497 WEST LOTT STREET
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834
Practice Address - Country:US
Practice Address - Phone:307-684-6320
Practice Address - Fax:307-684-5385
Is Sole Proprietor?:No
Enumeration Date:2021-08-28
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist