Individual
REBECCA ABBY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
288 MARTIN ST, BLAINE, WA 98230-4045
(360) 788-4228
Mailing address
4312 ARNIE RD, BLAINE, WA 98230-9105
(253) 951-4223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
261QS1000X
Student Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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