NPI 1083032478

Adam Bennett

Practitioner Athletic Trainer Hattiesburg, MS

Practice location

Address: 12 Park Pl # 254, Hattiesburg, MS 39402-1429
Phone: (954) 559-2171

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0635 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1083032478
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2014
Record last updated: 2 Apr 2014

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.