Bennett, Traci L

Bennett, Traci L is an sole proprietor health care provider with primary practice located at 1810 30Th St , Boulder CO 80301-1035. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bennett, Traci L can be contacted via phone (413) 531-8774.

Contact Information

Primary practice address
1810 30Th St Boulder CO 80301-1035
Phone: (413) 531-8774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0022032 Colorado

Profile Details

NPI number 1356957955
LBN Legal business name Bennett, Traci L
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2020
Last updated Sep 18th, 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.

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