Autumn Lee Bennett
Autumn Lee Bennett is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Works from 2 locations. Licensed in Indiana and Michigan.
- Licensed in
- IN, MI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Bloomington, INNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 3521 Breezy Point Dr, Okemos, MI 48864-5967 — (517) 331-4654
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 36003760A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (MI) |
Record details
| NPI number | 1891461729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 19, 2021 |
| Last updated in NPPES | July 7, 2023 |
| Certification date | July 7, 2023 |
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