Provider Demographics
NPI:1639464712
Name:CATLIN, BETHANY LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:LYNN
Last Name:CATLIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8617 W POINT DOUGLAS RD S STE 110
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-4122
Mailing Address - Country:US
Mailing Address - Phone:612-987-3899
Mailing Address - Fax:612-437-4757
Practice Address - Street 1:8617 W POINT DOUGLAS RD S STE 110
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-4122
Practice Address - Country:US
Practice Address - Phone:651-459-2000
Practice Address - Fax:612-437-4757
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor