Provider Demographics
NPI:1720017817
Name:NANCY BENEUX, PLLC
Entity Type:Organization
Organization Name:NANCY BENEUX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:BENEUX
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:479-997-2340
Mailing Address - Street 1:6424 GEORGIA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-8273
Mailing Address - Country:US
Mailing Address - Phone:479-997-2340
Mailing Address - Fax:479-997-2351
Practice Address - Street 1:6424 GEORGIA RIDGE RD
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-8273
Practice Address - Country:US
Practice Address - Phone:479-997-2340
Practice Address - Fax:479-997-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty