Individual provider · Type 1 NPI

Amanda Bennett, ATC, LAT, PES, EMT-B

Specialist · Lakeland, FL

NPI number 1962867838 Active

Practice location

705 Central Parke Cir Apt 208
Lakeland, FL 33805-9590

Call (865) 556-9589 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAL3539 (FL)

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 1962867838

Amanda Bennett, ATC, LAT, PES, EMT-B's National Provider Identifier is 1962867838, issued on Dec 21, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakeland, FL. The record was last updated on Dec 21, 2015.