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302 Us Highway 68 W, Benton, KY 42025 | |
(314) 277-9718 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 302 Us Highway 68 W, Benton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457026171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Jani L Brewer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366629354 PECOS PAC ID: 1355420860 Enrollment ID: I20150420000754 |
Provider Name | Weston Gerard Jones |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013576859 PECOS PAC ID: 6002143021 Enrollment ID: I20190813002466 |
Provider Name | Levi Crossley |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144958661 PECOS PAC ID: 1850777848 Enrollment ID: I20220928001926 |
Mailing Address | Practice Location Address |
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302 Us Highway 68 W, Benton, KY 42025-7797 Ph: (314) 277-9718 | 302 Us Highway 68 W, Benton, KY 42025 Ph: (314) 277-9718 |