Individual
NIKKI BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7677 YANKEE ST, CENTERVILLE, OH 45459-3475
(937) 401-6400
(937) 401-6513
Mailing address
7677 YANKEE ST, CENTERVILLE, OH 45459-3475
(937) 401-6400
(937) 401-6513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
OH
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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