Bennett Shake, DPT

NPI 1235648866 · on the registry since 2017 · sole proprietor

Practice

Address: 4224 N Nevada Ave Ste 200
Colorado Springs, CO 80907
Phone: (719) 900-1817
Organisation at this address: Therapeutic Sports Massage Llc
Shake Rehabilitation Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-02

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 Colorado