Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TOM D BENNETCH, PT

Active

TOM D BENNETCH, PT is a Physical Therapy Assistant healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1174638084 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE HAVASU CITY, AZ

Registration Details

NPI Number: 1174638084
Provider Type: Individual
Gender: Male
NPI Issued: Aug 20, 2006 (19.94563454738 yrs)
Last Updated: Aug 30, 2012
License: 4446 (AZ)

Practice Information

Address: 297 S LAKE HAVASU AVE

#102

LAKE HAVASU CITY, AZ, 86403
Browse AZ providers · Browse ZIP 86403
Phone: 9284530501
Fax: 9284530502
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LAKE HAVASU CITY, AZ

Name	Credential	NPI
MR. JOHN C TWOMEY	P.T.	1245295294
MRS. STACY BECK	P.T.	1194781542
ELIZABETH L MARR	P.T., PH.D.,D.P.T.	1588695670
MICHELLE FORD SCHULZ	P.T.	1376562363
ROXANNE JEAN CEDOR	P.T., DPT	1366466237
MARY CONSUELO HALFACRE BUIE	PT	1932272820

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.