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

Jeffrey Bennett

Individual provider Physical Therapist · NPI 1730575648

Jeffrey Bennett is a Physical Therapist in Middleton, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
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Practice location Address checks out

533 S Middleton Rd Ste 100
Middleton, ID 83644-6013
Phone: (208) 585-6566
Fax: (208) 585-6768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4080 (ID)

Record details

NPI number1730575648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESApril 8, 2015
Mailing address7550 W Emerald St, Boise, ID 83704-9015

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