Provider Demographics
NPI:1386156107
Name:BINGER, BETHANY ANN (CEP)
Entity type:Individual
Prefix:MS
First Name:BETHANY
Middle Name:ANN
Last Name:BINGER
Suffix:
Gender:F
Credentials:CEP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:701 HEWITT BLVD
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-2848
Mailing Address - Country:US
Mailing Address - Phone:651-267-5460
Mailing Address - Fax:651-267-5946
Practice Address - Street 1:701 HEWITT BLVD
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-2848
Practice Address - Country:US
Practice Address - Phone:651-267-5460
Practice Address - Fax:651-267-5946
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist