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

MRS. LISA BENNETT, ATC

Active Sole Proprietor

MRS. LISA BENNETT, ATC is a Athletic Trainer healthcare provider located in WASHOUGAL, Washington. NPI 1790706349 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WASHOUGAL, WA

Registration Details

NPI Number
1790706349
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2006 (20.025016609237 yrs)
Last Updated
Sep 5, 2014
Sole Proprietor
Yes

Practice Information

Address
1201 39TH ST
WASHOUGAL, WA, 986719112
Browse WA providers · Browse ZIP 98671
Phone
3609543180
Primary Specialty
Athletic Trainer
2255A2300X
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.