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Autumn Bennett
NPI 1891461729 · on the registry since 2021
Practice
- Address
- 1001 E 17th St
Bloomington, IN 47408 - Phone
- (517) 331-4654
- Organisation at this address
- Athletico, Ltd.
The Trustees Of Indiana UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 3521 Breezy Point Dr, Okemos, MI
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-07
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 Indiana