Provider Demographics
NPI:1710930714
Name:HENGELMANN, BETTY J (PT)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:J
Last Name:HENGELMANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7541 9TH ST N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-6626
Mailing Address - Country:US
Mailing Address - Phone:651-748-4338
Mailing Address - Fax:651-748-2892
Practice Address - Street 1:750 2ND ST NE
Practice Address - Street 2:SUITE 106
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8587
Practice Address - Country:US
Practice Address - Phone:952-936-9600
Practice Address - Fax:951-936-9536
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1685225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN992245800Medicaid
MNHP27933OtherHEALTHPARTNERS
MN198K2HEOtherBLUECROSS BLUESHEILD
MN6402608OtherMEDICA
MN198K2HEOtherBLUECROSS BLUESHEILD