Provider Demographics
NPI:1912541491
Name:BINGHAM, HOYT C (LMT)
Entity Type:Individual
Prefix:
First Name:HOYT
Middle Name:C
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4429 VT ROUTE 14
Mailing Address - Street 2:
Mailing Address - City:S ROYALTON
Mailing Address - State:VT
Mailing Address - Zip Code:05068-5090
Mailing Address - Country:US
Mailing Address - Phone:802-299-5724
Mailing Address - Fax:
Practice Address - Street 1:144 PALMER COURT
Practice Address - Street 2:
Practice Address - City:WILDER
Practice Address - State:VT
Practice Address - Zip Code:05088-0506
Practice Address - Country:US
Practice Address - Phone:802-299-5724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6107225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist