Individual
JOSHUA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CES, FMT
Contact information
Practice address
1001 TRUXTUN AVE, BAKERSFIELD, CA 93301
(207) 299-0670
Mailing address
470 W WESTERN AVE, MUSKEGON, MI 49440-1041
(231) 726-3879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001078
MI
Other
Enumeration date
02/19/2013
Last updated
06/13/2018
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