Jeffrey R Bennett JR., PT, ATC

NPI #1003149444 in Kokomo, Indiana

Provider Information

NPI Number: 1003149444
Entity Type: Individual
Name: Jeffrey R Bennett JR., PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, ATC
Enumeration Date: Sep 17, 2009
Last Updated: Feb 12, 2014

Practice Location

Address: 506 E SOUTHWAY BLVD
City: Kokomo
State: Indiana
ZIP Code: 46902
Phone: (765) 626-0299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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