Individual
CRAIG ALLEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1500 N. WARNER ST. #1044, TACOMA, WA 98416
(253) 879-3441
(253) 879-3634
Mailing address
2900 32ND AVENUE CT SE, PUYALLUP, WA 98374-2094
(253) 879-3441
(253) 879-3634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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