James Thomas Benzel, ATC
Specialist/Technologist, Athletic Trainer in Omaha, NE. Individual provider (NPI-1).
NPI number1194100644
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1194100644
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Thomas Benzel
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2015
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1117 | NE | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126002277 | VA |
Practice location
Creighton UniversityOmaha, NE 68178-2003
Phone 402-880-0497
Mailing address
2500 California PlzOmaha, NE 68178-0002
Fax 804-628-0048
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