Individual
BRUCE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2490 W 26TH AVE # A, DENVER, CO 80211-5314
(303) 531-4144
Mailing address
2490 W26TH AVEBUILDING A, SUITE 5, DENVER, CO 80211
(303) 531-4144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0022593
CO
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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