Individual
JORDAN BENOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9880 ANGIES WAY STE 100, LOUISVILLE, KY 40241-2851
(502) 339-6490
Mailing address
9880 ANGIES WAY STE 100, LOUISVILLE, KY 40241-2851
(502) 339-6490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006365
KY
Other
Enumeration date
03/02/2014
Last updated
03/02/2014
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