IndividualActive
Kevin Bingham, PTA
NPI 1679078331 · Physical Therapy Assistant · Sublimity, OR
Provider details
- NPI number
- 1679078331
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8177960-2402 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
390 Se Church St
Sublimity, OR 97385-9714
Phone: (801) 550-5329
Approximate (ZIP-level) locationGet directions
Mailing address
1036 Limelight Ave Nw
Salem, OR 97304-3427
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2018-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.