Individual
ASHLYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 366-7897
Mailing address
9447 N US HIGHWAY 231, LINDEN, IN 47955-8002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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