Jeremy Thomas Pettinger in Grangeville - Physical Therapist

Jeremy Thomas Pettinger - NPI 1700916087

Jeremy Thomas Pettinger is a Physical Therapist in Grangeville, Idaho. Jeremy Thomas Pettinger practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jeremy Thomas Pettinger is 1700916087. The last update date is 2007-07-08.

Jeremy Thomas Pettinger's current location address is Po Box 327, Grangeville, Idaho. You can contact this provider via phone number 2084065195. The mailing address for Jeremy Thomas Pettinger is Po Box 327, Grangeville, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy Thomas Pettinger
Address Po Box 327, Grangeville, Idaho
Phone Number 2084065195
Fax Number
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1700916087
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 327
City Grangeville
State Idaho (ID)
Post Code 835300327
Phone Number 2084065195
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT-1913
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Jeremy Thomas Pettinger

What is the unique 10-digit identification code issued to Jeremy Thomas Pettinger by the Centers for Medicare & Medicaid Services?

The Jeremy Thomas Pettinger has been assigned the NPI (National Provider Identifier) 1700916087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Jeremy Thomas Pettinger is located?

The Jeremy Thomas Pettinger is situated at the following address: Po Box 327, Grangeville, ID, 835300327.

What is Jeremy Thomas Pettinger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jeremy Thomas Pettinger's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

On what date did the Jeremy Thomas Pettinger receive its 1700916087 assignment from the Centers for Medicare & Medicaid Services?

The Jeremy Thomas Pettinger was assigned its 1700916087 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date were the details related to Jeremy Thomas Pettinger most recently updated or revised?

The information pertaining to Jeremy Thomas Pettinger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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