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JACKIE MARIE BENNETT LMP, CLT
NPI 1134412596
Specialist in Puyallup, WA

Active since May 18, 2011
10508 123RD STREET CT E, PUYALLUP, WA 98374(253) 209-6276 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Marie Bennett Lmp, Clt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE MARIE BENNETT LMP, CLT (NPI 1134412596) is an individual specialist in Puyallup, Washington, licensed in Washington (MA00022947) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1134412596
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACKIE MARIE BENNETTCredential: LMP, CLT
Location Address10508 123RD STREET CT EPuyallup, WA 98374-2626
Mailing Address10508 123rd Street Ct EPuyallup, WA 98374-2626 · (253) 209-6276
Phone(253) 209-6276
Sole ProprietorYes
Enumeration DateMay 18, 2011
✔ NPI 1134412596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA00022947
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10508 123RD STREET CT E, Puyallup, WA 98374
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Bennett's NPI number?

The NPI number for Jackie Bennett is 1134412596. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Jackie Bennett located?

Jackie Bennett practices at 10508 123rd Street Ct E, Puyallup, WA 98374. The listed phone number is (253) 209-6276.

What is Jackie Bennett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jackie Bennett was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.