IndividualActive
Adam Bennett
NPI 1083032478 · Athletic Trainer · Hattiesburg, MS
Provider details
- NPI number
- 1083032478
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0635 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12 Park Pl # 254
Hattiesburg, MS 39402-1429
Phone: (954) 559-2171
Approximate (ZIP-level) locationGet directions
Mailing address
12 Park Pl # 254
Hattiesburg, MS 39402-1429
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2014-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.