Provider Demographics
NPI:1730498122
Name:BENOY, JANET HOFFMAN (LMBT, MMP, CPMT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:HOFFMAN
Last Name:BENOY
Suffix:
Gender:F
Credentials:LMBT, MMP, CPMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-0294
Mailing Address - Country:US
Mailing Address - Phone:704-813-0462
Mailing Address - Fax:
Practice Address - Street 1:212 W 2ND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4055
Practice Address - Country:US
Practice Address - Phone:704-813-0462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9738225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist