Individual provider · NPI-1

Katelyn Brooks-Bennett, AT, PTA

Specialist/Technologist, Athletic Trainer · Aurora, CO

NPI number1265848113
StatusActive
Last updated in NPPESJul 10, 2014

Details

NPI
1265848113
Entity type
Individual (NPI-1)
Name
Katelyn Brooks-Bennett
Credential
AT, PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 10, 2014
Last updated
Jul 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer050708072COYes
225200000X Physical Therapy Assistant0013188CO

Other names

  • Katelyn Brooks (Former Name)

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Phone 720-777-1234

Mailing address

13123 E 16th Ave
Aurora, CO 80045-7106

Phone 720-777-1234

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