Bennett, Brandon Bruce
Bennett, Brandon Bruce is an sole proprietor health care provider with primary practice located at 7605 38Th Ct Se , Lacey WA 98503-4804. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bennett, Brandon Bruce can be contacted via phone (360) 349-8606.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PU 60159680 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PU 60159680 | Washington |
Profile Details
| NPI number | 1447570809 |
|---|---|
| LBN Legal business name | Bennett, Brandon Bruce |
| Credentials | D.P.T., L.A.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2010 |
| Last updated | Jan 28th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447570809 | NPPES |
| Washington | Other | PU 60159680 | PHYSICAL THERAPIST INTERIM PERMIT |
| Washington | Other | A1 60054681 | PHYSICAL THERAPIST INTERIM PERMIT |
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