Jack Bennett in Saint Louis - Physical Therapist

Jack Bennett - NPI 1780895771

Jack Bennett is a Physical Therapist in Saint Louis, Missouri. Jack Bennett practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jack Bennett is 1780895771. The last update date is 2007-07-08.

Jack Bennett's current location address is 11709 Old Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149910480 and fax number 3179910487. The mailing address for Jack Bennett is 11709 Old Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Bennett
Address 11709 Old Ballas Rd, Saint Louis, Missouri
Phone Number 3149910480
Fax Number 3179910487
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1780895771
Provider Enumeration Date 2007-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11709 Old Ballas Rd
City Saint Louis
State Missouri (MO)
Post Code 631417029
Phone Number 3149910480
Fax Number 3179910487

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No R1364
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Jack Bennett

What is the unique identifier code issued to Jack Bennett by the Centers for Medicare & Medicaid Services?

The Jack Bennett has been assigned the NPI (National Provider Identifier) 1780895771. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jack Bennett is physically located?

The Jack Bennett is situated at the following address: 11709 Old Ballas Rd, Saint Louis, MO 631417029.

What is Jack Bennett's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jack Bennett's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date was the 1780895771 assigned to Jack Bennett?

The Jack Bennett was issued its 1780895771 on 2007-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jack Bennett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jack Bennett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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