Whalio Doctors

NPI 1003149444

Jeffrey R Bennett, PTATC

Practitioner Physical Therapist Kokomo, IN

Practice location

Address
506 E Southway Blvd, Kokomo, IN 46902
Phone
(765) 626-0299
Fax
(765) 864-2070
Mailing address
790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 05010397A (IN)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36001638A (IN)

Registry record

NPI
1003149444
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Sep 2009
Record last updated
12 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.