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

JAQUENETTA WILLIAMS BENNERTT, PT

Active

JAQUENETTA WILLIAMS BENNERTT, PT is a Physical Therapy Assistant healthcare provider located in LAKE WALES, Florida. NPI 1679073852 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE WALES, FL

Registration Details

NPI Number
1679073852
Provider Type
Individual
Gender
Female
NPI Issued
Feb 14, 2018 (8.4975350319306 yrs)
Last Updated
Feb 14, 2018

Practice Information

Address
1102 YARNELL AVE
LAKE WALES, FL, 338533921
Browse FL providers · Browse ZIP 33853
Phone
8632415894
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LAKE WALES, FL

Name Credential NPI
LOWELL S LIWANAG RPT, WCC, CWS 1780600155
GLADYS S QUIZON RPT 1912923384
SHERLY P GEONZON RPT 1437175809
LORINDA C GRAJO PT 1770694333
MS. MICHELLE ROSE BALLARD R.P.T. 1669569273
VICTORIA CRABB PT 1811029655
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.