Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaquenetta Williams Bennertt, PT

Individual provider Physical Therapist · NPI 1679073852

Jaquenetta Williams Bennertt, PT is a Physical Therapist in Lake Wales, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1102 Yarnell Ave
Lake Wales, FL 33853-3921
Phone: (863) 241-5894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679073852
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 14, 2018
Last updated in NPPESFebruary 14, 2018

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