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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