Organization
BENCHMARK PHYSICAL THERAPY OF KY LLC
Active
Organization
BENCHMARK PHYSICAL THERAPY OF KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENETTO (CREDENTIALING DIRECTOR)
(423) 238-8923
Entity
Organization
Contact information
Practice address
2501 DIXIE HWY STE 8, FORT MITCHELL, KY 41017-3097
(859) 331-1179
(859) 331-1270
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-8923
(423) 954-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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