KRISTA R BENNETT

FORT WAYNE, IN
NPI1225091705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: IN  36000834A)
Enumeration Date2006-04-07
Last Update Date2007-07-08
Business Address
Mrs. KRISTA R BENNETT LAT, ATC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
Mailing Address
Mrs. KRISTA R BENNETT LAT, ATC
726 SUNTURN DR
FORT WAYNE, IN 46825-2295
Phone number: 260-497-9529