MEDICARE: MS. ALICIA MARIE BENNETT MS, ATC, CPFS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		HI

General Provider Information

NPI Number	:	1629037999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICIA MARIE BENNETT MS, ATC, CPFS

Provider Business Mailing Address
First Line	:	340 LAMA ST.
Second Line	:
City	:	LANAI CITY
State	:	HI
Zip	:	96763-0630
Country	:	US
Telephone Number	:	808-559-6435
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 LAMA ST.
Second Line	:
City	:	LANAI CITY
State	:	HI
Zip	:	96763-0630
Country	:	US
Telephone Number	:	808-559-6435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	11/28/2012

Similar Medicare Providers

1659642049 — SPIRIT ENTERPRISES
Practice Location Address:

34213 SPIRIT HILLS WAY
DADE CITY, FL
33523-0630

Practice Phone: 352-521-5693
Practice Fax:

1336113125 — DR. JAMES M SAGAWA DMD
Practice Location Address:

730 LANAI AVENUE , SUITE #101
LANAI CITY, HI
96763-0117

Practice Phone: 808-565-6418
Practice Fax: 808-565-6418

1730136417 — DR. NORA KAY HARMSEN DDS
Practice Location Address:

730 LANAI AVENUE , SUITE #101
LANAI CITY, HI
96763-0069

Practice Phone: 808-565-6418
Practice Fax: 808-565-6742

1871534735 — STRAUB CLINIC & HOSPITAL
Practice Location Address:

628 - B SEVENTH ST
LANAI CITY, HI
96763

Practice Phone: 808-565-6423
Practice Fax: 808-565-7480

1245310259 — BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Practice Location Address:

628 7TH ST
LANAI CITY, HI
96763-0000

Practice Phone: 808-565-9650
Practice Fax: 808-565-6357

1093842171 — REYNOLD MASAJI GIMA MSC
Practice Location Address:

730 LANAI AVE., #113
LANAI CITY, HI
96763-0086

Practice Phone: 808-565-6189
Practice Fax: 808-565-7426

Directions to “ MS. ALICIA MARIE BENNETT MS, ATC, CPFS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.