Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN BENNETT
ActivePhysical Therapy Assistant · GULFPORT, MS
Registration Details
- NPI Number
- 1194131870
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2014 (11.803717040387 yrs)
- Last Updated
- Aug 22, 2023
- License
-
PT5517 (MS)
Practice Information
- Address
-
11010 DAVID ST STE AGULFPORT, MS, 395033481Browse MS providers · Browse ZIP 39503
- Phone
- 2288328327
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA B. SHIELDS | PT | 1528094380 |
| LINDA MARIE CHAVERS | PT | 1780616185 |
| JOSEPH FRAME | PT | 1396858841 |
| KENNETH JOHN ACKERMAN | — | 1992812135 |
| SUZANNE ELIZABETH RUCKER | PT | 1235246489 |
| TIMOTHY JOSEPH KRUCHOWSKY | PT | 1083722284 |
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.