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Individual
MR. MICHAEL KENNETH BENNETT
Active
Individual
MR. MICHAEL KENNETH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PFT, CPT, CAPT
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
NULL
174H00000X
Health Educator
Primary
—
NULL
224Y00000X
Clinical Exercise Physiologist
—
NULL
225400000X
Rehabilitation Practitioner
—
NULL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
NULL
Other
Enumeration date
08/22/2018
Last updated
09/15/2022
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