Individual
EMMA C BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19804 122ND ST E, BONNEY LAKE, WA 98391-7490
(253) 292-8980
Mailing address
19804 122ND ST E, BONNEY LAKE, WA 98391-7490
(253) 292-8980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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