Individual
JEANI BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MSED
Contact information
Practice address
3155 S HIDDEN VALLEY DR UNIT 174, ST GEORGE, UT 84790-6691
(307) 399-4536
Mailing address
883 CHURREA DR, WASHINGTON, UT 84780-8127
(307) 399-4536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8030326-4810
UT
Other
Enumeration date
01/12/2015
Last updated
11/12/2024
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