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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JODY CARL BENNETT, P.T.

Active Sole Proprietor

Physical Therapy Assistant · OCEAN SPRINGS, MS

Registration Details

NPI Number
1407114440
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2012 (13.984720346535 yrs)
Last Updated
Aug 10, 2023
Licenses
PT3943 (MS)
11395R (LA)
Sole Proprietor
Yes

Practice Information

Address
4010 BIENVILLE BLVD UNIT E
OCEAN SPRINGS, MS, 395645990
Browse MS providers · Browse ZIP 39564
Phone
2283006001
Fax
2283006005
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in OCEAN SPRINGS, MS

Name Credential NPI
ELIZABETH E EDMISTON PT 1841251089
STEVEN WILLIAM HOLLAND P.T. 1609827054
MR. RODNEY J NICHOLS P.T. 1841229564
DOUGLAS G ROLL PT 1457463390
MRS. HEIDI HUDLOW ST. AMANT P.T. 1629157144
MS. JOCELYLN A. MAYFIELD MPT 1861536286
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.