Individual
MATTHEW DEAN BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12018 S REDBUD LN, OLATHE, KS 66061-5769
(620) 757-3777
Mailing address
12018 S REDBUD LN, OLATHE, KS 66061-5769
(620) 757-3777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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