Individual
MR. JOHN KEITH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7826 STONEWALL CT, LINCOLN, NE 68506-4171
(402) 489-5301
Mailing address
7826 STONEWALL CT, LINCOLN, NE 68506-4171
(402) 489-5301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100
NE
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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