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

THOMAS BENROTH, CCP

Active Sole Proprietor

THOMAS BENROTH, CCP is a Orthotic Fitter healthcare provider located in ANCHORAGE, Alaska. NPI 1427525971 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · ANCHORAGE, AK

Registration Details

NPI Number
1427525971
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2018 (7.7544219223509 yrs)
Last Updated
Nov 1, 2018
License
LP055 (NV)
Sole Proprietor
Yes

Practice Information

Address
4421 MARS DR
ANCHORAGE, AK, 995073720
Browse AK providers · Browse ZIP 99507
Phone
9072427821
Primary Specialty
Orthotic Fitter
242T00000X
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.