Individual
INGRID A BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 254-3200
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422
(763) 520-0729
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7138
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319R0TH
BCBS
MN
01
—
6404184
MEDICA
—
Enumeration date
04/27/2006
Last updated
07/21/2022
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