MEDICARE: RACHEL HEARD BENSON 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
1	225100000X	Physical Therapist	05010667A	IN

General Provider Information

NPI Number	:	1013026814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HEARD BENSON PT

Provider Business Mailing Address
First Line	:	8733 W 400 N
Second Line	:	STE C
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-9330
Country	:	US
Telephone Number	:	219-809-9614
Fax Number	:	219-809-9481

Provider Business Practice Location Address
First Line	:	8807 W 400 N
Second Line	:	SUITE B
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-9330
Country	:	US
Telephone Number	:	219-809-9614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/06/2019

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Directions to “ RACHEL HEARD BENSON PT” Practice Location

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