SearchArizona225100000X

Tom Bennetch, PT

NPI 1174638084 · on the registry since 2006

Practice

Address
297 S Lake Havasu Ave
#102
Lake Havasu City, AZ 86403
Phone
(928) 453-0501
Fax
(928) 453-0502
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona