Individual
SHEILA BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
28863 270TH ST, NEOLA, IA 51559-5023
(712) 326-8905
Mailing address
28863 270TH ST, NEOLA, IA 51559-5023
(712) 326-8905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005137
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005137
22
IA
Enumeration date
01/28/2016
Last updated
01/28/2016
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