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

Jolene Larae Bennett, PT

Individual provider Orthopedic Physical Therapist · NPI 1619551165

Jolene Larae Bennett, PT is an Orthopedic Physical Therapist in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
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

3540 Fairlanes Ave SW
Grandville, MI 49418-1536
Phone: (616) 531-0464
Fax: (616) 531-3651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5501003994 (MI)

Record details

NPI number1619551165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021
Mailing address3540 Fairlanes Ave Sw, Grandville, MI 49418-1536

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