Individual
BENNETT MICHAEL RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
105 HUBERT DR, ELK CITY, OK 73644-1447
(580) 799-0706
Mailing address
105 HUBERT DR, ELK CITY, OK 73644-1447
(580) 799-0706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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