Individual
DANIEL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017943
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0017943
STATE LICENSE
CO
Enumeration date
09/14/2021
Last updated
09/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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