MS. Carla Sue Bennett, L.M.T

NPI #1578029005 in Post Falls, Idaho

Provider Information

NPI Number: 1578029005
Entity Type: Individual
Name: MS. Carla Sue Bennett, L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T
Enumeration Date: Feb 20, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 2525 E SELTICE WAY
Address 2: SUITE C
City: Post Falls
State: Idaho
ZIP Code: 83854
Phone: (208) 777-7463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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