Stacy Bennett

NPI #1144969312 in Goddard, Kansas

Provider Information

NPI Number: 1144969312
Entity Type: Individual
Name: Stacy Bennett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jun 3, 2022
Last Updated: Jun 3, 2022

Practice Location

Address: 12 S LAKEVIEW CT
City: Goddard
State: Kansas
ZIP Code: 67052-9228
Phone: (316) 252-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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