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Craig Allen Bennett, ATC

Specialist/Technologist, Athletic Trainer in Tacoma, WA. Individual provider (NPI-1).

NPI number1295741445
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295741445
Entity type
Individual (NPI-1)
Name
Craig Allen Bennett
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1500 N. Warner St. #1044
Tacoma, WA 98416

Phone 253-879-3441 · Fax 253-879-3634

Mailing address

2900 32nd Avenue Ct Se
Puyallup, WA 98374-2094

Phone 253-879-3441 · Fax 253-879-3634

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