Individual
RACHELLE S BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1201 HIGHWAY 49 S, SUITE 2, RICHLAND, MS 39218-9425
(769) 233-8844
(769) 251-1825
Mailing address
2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT978
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126939
—
MS
Enumeration date
04/24/2007
Last updated
06/27/2016
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