Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN BLAINE BINGHAM, PTA
Active Sole ProprietorKEVIN BLAINE BINGHAM, PTA is a Occupational Therapist healthcare provider located in SUBLIMITY, Oregon. NPI 1679078331 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SUBLIMITY, OR
Registration Details
- NPI Number
- 1679078331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2018 (8.344582858236 yrs)
- Last Updated
- Mar 26, 2018
- Licenses
-
8177960-2402 (UT)09469 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
390 SE CHURCH STSUBLIMITY, OR, 973859714Browse OR providers · Browse ZIP 97385
- Phone
- 8015505329
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in SUBLIMITY, OR
| Name | Credential | NPI |
|---|---|---|
| FRANK CHRISTOPHER HERB | PTA | 1912338625 |
| SHELIA TUNNELL | — | 1316360209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.