Individual
JOHN C BENECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
3880 N GRANT AVE, SUITE 100, LOVELAND, CO 80538-8433
(970) 663-7780
(970) 663-7781
Mailing address
2712 MAROON CT, FORT COLLINS, CO 80525-6148
(970) 229-0431
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3071
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32776845
—
CO
Enumeration date
07/07/2006
Last updated
09/13/2010
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