Individual
CHRISTINA R BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11440 PARKSIDE DR, SUITE 301, KNOXVILLE, TN 37934-2658
(704) 831-5065
(704) 831-5066
Mailing address
11440 PARKSIDE DR, SUITE 301, KNOXVILLE, TN 37934-2658
(704) 831-5065
(704) 831-5066
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4264
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3734647
GROUP PRICING NUMBER
TN
Enumeration date
11/24/2006
Last updated
07/20/2007
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