Individual
REESE JORDAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
229 S STEWART RD STE E-3, LIBERTY, MO 64068
(816) 656-3695
(816) 656-3696
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015028488
MO
Other
Enumeration date
06/04/2015
Last updated
12/06/2018
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