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NPI Code Detail

MEDICARE: BENNETT GATTO DPT

MEDICARE: BENNETT GATTO DPT
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
1225100000XPhysical Therapist007334KY
2225100000XPhysical TherapistCP008679TOH

General Provider Information

NPI Number : 1255833737
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENNETT GATTO DPT
Provider Business Mailing Address
First Line : PO BOX 911063
Second Line :
City : LEXINGTON
State : KY
Zip : 40591
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1327 KING AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-2220
Country : US
Telephone Number : 502-609-4289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 01/24/2023

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Directions to “ BENNETT GATTO DPT” Practice Location

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