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Gregory Bennett, LAT

NPI 1194034454 · on the registry since 2010 · sole proprietor

Practice

Address
249 E 2nd St Ste 1
Powell, WY 82435
Phone
(307) 254-2038

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming