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Bethany Rae Baron, PT

Physical Therapist in Coon Rapids, MN. Individual provider (NPI-1).

NPI number1306362140
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1306362140
Entity type
Individual (NPI-1)
Name
Bethany Rae Baron
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 14, 2017
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist10862MNYes

Other names

  • Bethany Rae Kadrlik (Former Name)

Practice location

3111 124th Ave Nw Ste 200
Coon Rapids, MN 55433-4573

Phone 763-427-7300 · Fax 763-427-2802

Mailing address

4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841

Phone 952-512-5600

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