Provider Demographics
NPI:1962634030
Name:BINGER, SCOTT LEE (PTA)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:LEE
Last Name:BINGER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 N DELANEY RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:MI
Mailing Address - Zip Code:48841-9764
Mailing Address - Country:US
Mailing Address - Phone:989-725-9277
Mailing Address - Fax:
Practice Address - Street 1:103 W. WALLACE
Practice Address - Street 2:ASHLEY CARE CENTER
Practice Address - City:ASHLEY
Practice Address - State:MI
Practice Address - Zip Code:48806
Practice Address - Country:US
Practice Address - Phone:989-847-2086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant