Individual
DR. STACY LYNN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13201 MAGISTERIAL DR, LOUISVILLE, KY 40223-4105
(502) 244-6770
Mailing address
3342 COMMODORE DR, APT. 471, LEXINGTON, KY 40502-3606
(859) 699-6222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37349
CA
2251X0800X
Orthopedic Physical Therapist
Primary
006269
KY
Other
Enumeration date
12/21/2010
Last updated
08/30/2013
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