Individual provider · Type 1 NPI
Lydia Kaye Bennett
Massage Therapist · Fort Defiance, AZ
NPI number
1669128971
Active
Practice location
Corner Of Rt N12 & N7
Fort Defiance, AZ 86504
Fax (928) 729-3355
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2 other providers at this address
About NPI 1669128971
Lydia Kaye Bennett's National Provider Identifier is 1669128971, issued on Feb 24, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Feb 24, 2022.