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NPI Code Detail

MEDICARE: DANIEL ASBERRY BENSON DPT

MEDICARE: DANIEL ASBERRY BENSON 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 TherapistCP033369TGA
2225100000XPhysical Therapist9360TN

General Provider Information

NPI Number : 1598013450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ASBERRY BENSON DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 866-518-0283
Fax Number :
Provider Business Practice Location Address
First Line : 311 CONGRESS PKWY N STE 800
Second Line :
City : ATHENS
State : TN
Zip : 37303-1697
Country : US
Telephone Number : 423-744-0890
Fax Number : 423-744-0849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 09/04/2024

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