Individual
PROF. JASON P BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 NORTH AVENUE, COLORADO MESA UNIVERSITY, GRAND JUNCTION, CO 81501-3122
(970) 248-1194
Mailing address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002623
CO
Other
Enumeration date
04/14/2006
Last updated
01/19/2024
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