Individual
DANIEL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3604 GALLEY RD STE 200, COLORADO SPRINGS, CO 80909-4301
(719) 550-4613
Mailing address
3604 GALLEY RD STE 200, COLORADO SPRINGS, CO 80909-4301
(719) 550-4613
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
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