NPI 1043581754

Jeffrey Bennett, LATATC

Practitioner Athletic Trainer Charlotte, NC

Practice location

Address: 2826 Randolph Rd, Charlotte, NC 28211-1386
Phone: (704) 366-5521
Mailing address: 5068 Gates Dr, Denver, NC 28037-9636

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1724 (NC)

Other Specialist/Technologist providers in North Carolina →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1305 (SC)

Registry record

NPI: 1043581754
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2012
Record last updated: 26 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.