Sandra Bennett
Mechanotherapist in Kailua Kona, HI. Individual provider (NPI-1).
NPI number1700025830
StatusActive
Last updated in NPPESFeb 12, 2009
Details
- NPI
- 1700025830
- Entity type
- Individual (NPI-1)
- Name
- Sandra Bennett
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2009
- Last updated
- Feb 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | mat 4538 | HI | Yes |
Practice location
73-4863 Anini StKailua Kona, HI 96740-9233
Phone 808-325-6795
Mailing address
73-4863 Anini StKailua Kona, HI 96740-9233
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