Individual
KATELYN BROOKS-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, PTA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0013188
CO
2255A2300X
Athletic Trainer
Primary
050708072
CO
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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