Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY BENACKA
ActiveJEREMY BENACKA is a Physical Therapy Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1174001010 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1174001010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2018 (8.0470336279249 yrs)
- Last Updated
- Aug 2, 2018
- License
-
5489 (MN)
Practice Information
- Address
-
16720 73RD PL NMAPLE GROVE, MN, 553112130Browse MN providers · Browse ZIP 55311
- Phone
- 6126852919
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. SHRADDHA ATODARIA BIKA | PT | 1740264167 |
| MR. MARC P PALEN | MPT | 1508840539 |
| DIANNE MARIE MANSFIELD | PT | 1205898699 |
| MARYKAY HERUTH | PT | 1134182504 |
| MR. PATRICK JOSEPH TARNOWSKI | PT, SCS | 1811945066 |
| JODI MARIE ZOLIK | PT | 1659488591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.