Individual
CASEY L BENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7765 VALLEY QUAIL PT, COLORADO SPRINGS, CO 80922-2709
(719) 452-0317
Mailing address
7765 VALLEY QUAIL PT, COLORADO SPRINGS, CO 80922-2709
(719) 452-0317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014262
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
618052300
DEPT OF LABOR - FECA
CO
Enumeration date
06/28/2013
Last updated
10/15/2014
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