Individual
DR. LUCAS DANIEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1406 W MAIN ST, RIVERTON, WY 82501-3239
(307) 857-7074
(307) 856-6459
Mailing address
1406 W MAIN ST, RIVERTON, WY 82501-3239
(307) 857-7074
(307) 856-6459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
044522
NY
225100000X
Physical Therapist
Primary
PT1932
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1932
STATE ISSUED PHYSICAL THERAPY LICENSE
WY
Enumeration date
11/07/2019
Last updated
03/05/2026
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