Individual
MADISON TAYLOR BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 LONE STAR RD, LAWRENCEBURG, TN 38464-7196
(931) 242-5610
Mailing address
409 LONE STAR RD, LAWRENCEBURG, TN 38464-7196
(931) 242-5610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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