Mrs. Jetta Melinda Benner
Physical Therapist - Orthopedic
638 Uptown Blvd Suite 1105
Cedar Hill
, Texas 75104-3507
Mrs. Jetta Melinda Benner
Physical Therapist - Orthopedic
638 Uptown Blvd Suite 1105
Cedar Hill
, Texas 75104-3507
(469) 272-3145
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mrs. Jetta Melinda Benner
- 638 Uptown Blvd Suite 1105
- Cedar Hill, TX
- Zip : 75104-3507
- Fax : (469) 272-3145
- Phone : (469) 272-3129
Second Address
- Mrs. Jetta Melinda Benner
- 638 Uptown Blvd Suite 1105
- Cedar Hill, TX
- Zip : 75104-3507
- Fax : (469) 272-3145
- Phone : (469) 272-3129
Reviews
FAQs
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Is Mrs. Jetta Melinda Benner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 1106805 | TX |
National Provider Identifier
| NPI | 1073581609 |
|---|---|
| Provider Name | Mrs. Jetta Melinda Benner |
| First Address | Cedar Hill, TX 75104-3507 |
| Second Address | Cedar Hill, TX 75104-3507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 23/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8T1319 | BCBS (01) | TX |
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.