Individual
KIMBERLY BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4345 SECOR RD, TOLEDO, OH 43623-4233
(419) 291-2097
(419) 480-8423
Mailing address
19 W CRAWFORD AVE, TOLEDO, OH 43612-3425
(419) 478-1130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 001719
OH
Other
Enumeration date
12/01/2006
Last updated
07/19/2007
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