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NPI Code Detail

MEDICARE: PATRICIA BENZ PT

MEDICARE:   PATRICIA  BENZ  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist001403KY
2225100000XPhysical Therapist001403KY

General Provider Information

NPI Number : 1548332844
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA BENZ PT
Provider Business Mailing Address
First Line : PO BOX 5629
Second Line :
City : EVANSVILLE
State : IN
Zip : 47716-5629
Country : US
Telephone Number : 812-759-7451
Fax Number : 812-759-7482
Provider Business Practice Location Address
First Line : 6610 BARDSTOWN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40291-3045
Country : US
Telephone Number : 502-762-1243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 09/26/2016

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Directions to “ PATRICIA BENZ PT” Practice Location

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