Individual provider · Type 1 NPI

Jackie Marie Bennett, LMP, CLT

Specialist · Puyallup, WA

NPI number 1134412596 Active

Practice location

10508 123rd Street Ct E
Puyallup, WA 98374-2626

Call (253) 209-6276 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00022947 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134412596

Jackie Marie Bennett, LMP, CLT's National Provider Identifier is 1134412596, issued on May 18, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Puyallup, WA. The record was last updated on May 18, 2011.