Individual
BENNETT HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3215 22ND ST STE C, COLUMBUS, NE 68601-3181
(402) 276-1191
Mailing address
2904 18TH ST, COLUMBUS, NE 68601-4245
(402) 276-1191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2047
NE
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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