Jeremy Benacka
Jeremy Benacka is a Physical Therapist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.
- Licensed in
- MN
- In the registry since
- 2018
Practice location Address checks out
16720 73rd Pl NMaple Grove, MN 55311-2130
Phone: (612) 685-2919
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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 5489 (MN) |
|---|
Record details
| NPI number | 1174001010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 2, 2018 |
| Last updated in NPPES | August 2, 2018 |
| Mailing address | 16720 73rd Pl N, Maple Grove, MN 55311-2130 |
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