Individual
STEVEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2050 SEA LEVEL DR STE 106, KETCHIKAN, AK 99901-6058
(907) 225-7246
Mailing address
2050 SEA LEVEL DR STE 106, KETCHIKAN, AK 99901-6058
(907) 225-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164947
AK
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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