Jeffrey R Bennett JR.
Physical Therapist
506 E Southway Blvd
Kokomo
, Indiana 46902
Jeffrey R Bennett JR.
Physical Therapist
506 E Southway Blvd
Kokomo
, Indiana 46902
(630) 296-2223
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Jeffrey R Bennett JR.
- 790 Remington Blvd
- Bolingbrook, IL
- Zip : 60440-4909
- Phone : (630) 296-2223
Second Address
- Jeffrey R Bennett JR.
- 506 E Southway Blvd
- Kokomo, IN
- Zip : 46902
- Fax : (765) 864-2070
- Phone : (765) 626-0299
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 05010397A | IN |
National Provider Identifier
| NPI | 1003149444 |
|---|---|
| Provider Name | Jeffrey R Bennett JR. |
| First Address | Bolingbrook, IL 60440-4909 |
| Second Address | Kokomo, IN 46902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2009 |
| Last Update Date | 12/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 555850029 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.