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John Riley Benock, DPT

Physical Therapist in Elizabethtown, KY. Individual provider (NPI-1).

NPI number1104240100
StatusActive
Last updated in NPPESApr 24, 2019

Details

NPI
1104240100
Entity type
Individual (NPI-1)
Name
John Riley Benock
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 11, 2014
Last updated
Apr 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist006364KYYes

Practice location

4031 N Dixie Hwy Ste 104
Elizabethtown, KY 42701-7874

Phone 270-982-4776

Mailing address

4031 N Dixie Hwy Ste 104
Elizabethtown, KY 42701-7874

Phone 270-982-4776

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