NPI 1356619647

Jonah Bingham King Lottig, MSRCEP

Practitioner Clinical Exercise Physiologist Viroqua, WI

Practice location

Address: 507 S Main St, Viroqua, WI 54665-2059
Phone: (608) 637-2101
Fax: (608) 638-5023

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1356619647
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2011
Record last updated: 1 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.