JEFFREY R BENNETT

KOKOMO, IN
NPI1003149444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05010397A)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001638A)
Enumeration Date2009-09-17
Last Update Date2014-02-12
Business Address
-- JEFFREY R BENNETT PT, ATC
506 E SOUTHWAY BLVD
KOKOMO, IN 46902
Phone number: 765-626-0299
Mailing Address
-- JEFFREY R BENNETT PT, ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223