Individual
LYDIA KAYE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF RT N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
(928) 729-3355
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
(928) 729-3355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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