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Mrs. Krista R Bennett, LAT,ATC
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Fort Wayne, Indiana
NPI 1225091705

Krista R Bennett is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Fort Wayne, IN. Krista R Bennett practices in Fort Wayne, IN and has the professional credentials of LAT,ATC. The NPI Number for Krista R Bennett is 1225091705 and holds a License No. 36000834A (Indiana).

The current practice location address for Krista R Bennett is 5050 N Clinton St, Fort Wayne, IN and can be reached out via phone at 260-484-8551 and via fax at 260-484-3351.

Location: 5050 N Clinton St, Fort Wayne, IN, 46825-2295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225091705
Provider Name
Krista R Bennett
Credential
LAT,ATC
Provider Entity Type
Individual
Gender
Female
Address
5050 N Clinton St, Fort Wayne, IN, 46825-2295
Phone Number
260-484-8551
Fax Number
260-484-3351
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5050 N Clinton St
City
Fort Wayne
State
Indiana
Zip
46825-5822
Phone Number
260-484-8551
Fax Number
260-484-3351
person
Provider Business Mailing Address Details
Address
5050 N Clinton St
City
Fort Wayne
State
Indiana
Zip
46825-5822
Phone Number
260-484-8551
Fax Number
260-484-3351
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
36000834A (Indiana)
Definition
Definition to come.
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