Provider Demographics
NPI:1417092438
Name:BENSINGER, JENNIFER M (MPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:BENSINGER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 WHITEHALL DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-5111
Mailing Address - Country:US
Mailing Address - Phone:314-440-6240
Mailing Address - Fax:
Practice Address - Street 1:4200 WHITEHALL DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-5111
Practice Address - Country:US
Practice Address - Phone:314-440-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003006580225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist