JEFFREY BENNETT

MIDDLETON, ID
NPI1730575648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT4080)
Enumeration Date2015-04-08
Last Update Date2015-04-08
Business Address
-- JEFFREY BENNETT
533 S MIDDLETON RD STE 100
MIDDLETON, ID 83644-6013
Phone number: 208-585-6566
Mailing Address
-- JEFFREY BENNETT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666