Individual
TAYLOR BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 SAM HOUSTON AVE, HUNTSVILLE, TX 77341-0001
(936) 294-1111
Mailing address
PO BOX 342, DODGE, TX 77334-0342
(936) 828-1700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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