Provider Demographics
NPI:1740150887
Name:BENNETT, MADISON FAITH HAMILTON (PT, DPT)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:FAITH HAMILTON
Last Name:BENNETT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3332 HARTSTON DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1046
Mailing Address - Country:US
Mailing Address - Phone:859-333-7376
Mailing Address - Fax:
Practice Address - Street 1:1055 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-8037
Practice Address - Country:US
Practice Address - Phone:502-517-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist