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

MR. BENJAMIN TALINO SO, BACHELOR'S DEGREE

Active Sole Proprietor

MR. BENJAMIN TALINO SO, BACHELOR'S DEGREE is a Physical Therapy Assistant healthcare provider located in JACKSON, Tennessee. NPI 1508575952 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSON, TN

Registration Details

NPI Number
1508575952
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2022 (3.7734858583572 yrs)
Last Updated
Nov 15, 2022
License
4365 (TN)
Sole Proprietor
Yes

Practice Information

Address
14 LOST TREASURE CV
JACKSON, TN, 383056036
Browse TN providers · Browse ZIP 38305
Phone
7316937819
Fax
7314241266
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JACKSON, TN

Name Credential NPI
MR. PAYTON MICHAEL REDDEN M.P.T 1447257746
MARIA ROSSANA S. DATUIN PT 1649248097
JIMMY CROSNOE PT 1184692303
JANNA S MCKNIGHT PT 1518908359
MITCHELL E GRAVES PT 1356384267
MICHELLE WILLIS MARTIN PT 1457395196
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.