Individual
KENTON BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2435 KIMBERLY RD, BETTENDORF, IA 52722-3509
(563) 343-2847
Mailing address
2435 KIMBERLY RD, BETTENDORF, IA 52722-3509
(563) 343-2847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
075692
IA
Other
Enumeration date
12/03/2020
Last updated
02/15/2021
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