Blake W Bennett, D.C. Valid NPI

Individual provider · Chiropractor · Jacksonville, AR

NPI

1548234115

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

1412 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-13

Last updated

2007-07-08