Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER BENSON
ActiveTANNER BENSON is a Physical Therapy Assistant healthcare provider located in SPARLAND, Illinois. NPI 1194197806 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SPARLAND, IL
Registration Details
- NPI Number
- 1194197806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2015 (10.828811055463 yrs)
- Last Updated
- Jan 28, 2025
- Licenses
-
PT-2024-0345 (NM)2116126 (TX)160006710 (IL)070025342 (IL)
Practice Information
- Address
-
36 SAUK CTSPARLAND, IL, 615659409Browse IL providers · Browse ZIP 61565
- Phone
- 3093715350
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Physical Therapy Assistant
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.