Individual
RICHARD BENJAMIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80903-3243
(719) 389-6813
Mailing address
14 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80903-3243
(719) 389-6813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0002215
CO
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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