Jack Bennett, PT

NPI 1780895771 · on the registry since 2007

Practice

Address: 11709 Old Ballas Rd
Suite 205
Saint Louis, MO 63141
Phone: (314) 991-0480
Fax: (317) 991-0487
Organisation at this address: Imynd Llc
C Graves Dds Pc
Golden Ratio Dental Llc
Still Move Counseling Llc
Stl Therapy Intensives Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri