Individual
MRS. JORDAN LEIGH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 PINE ST APT 205, LEXINGTON, KY 40508-3042
(502) 553-1536
Mailing address
101 PINE ST APT 205, LEXINGTON, KY 40508-3042
(502) 553-1536
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
T12031
KY
Other
Enumeration date
10/03/2012
Last updated
03/24/2020
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