John Nason Pettengill in State College - Physical Therapist

John Nason Pettengill - NPI 1811090368

John Nason Pettengill is a Physical Therapist in State College, Pennsylvania. John Nason Pettengill practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for John Nason Pettengill is 1811090368. The last update date is 2007-07-08.

John Nason Pettengill's current location address is 434 W Aaron Dr, State College, Pennsylvania. You can contact this provider via phone number 8142359995 and fax number 8142359616. The mailing address for John Nason Pettengill is 434 W Aaron Dr, State College, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name John Nason Pettengill
Address 434 W Aaron Dr, State College, Pennsylvania
Phone Number 8142359995
Fax Number 8142359616
Sole Proprietor N
Credentials MSPT, CERT

NPI Number Detail

NPI Number 1811090368
Provider Enumeration Date 2006-09-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 434 W Aaron Dr
City State College
State Pennsylvania (PA)
Post Code 168033074
Phone Number 8142359995
Fax Number 8142359616

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT005964L
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT005964L PA PHYSICAL THERAPY LICENSE

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FAQs about John Nason Pettengill

What is the unique 10-digit identifier code issued to John Nason Pettengill by the Centers for Medicare & Medicaid Services?

The John Nason Pettengill has been assigned the NPI (National Provider Identifier) 1811090368 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John Nason Pettengill's facilities are geographically located?

The facilities of John Nason Pettengill are physically situated at the following location: 434 W Aaron Dr, State College, PA, 168033074.

What is the area of specialization for John Nason Pettengill, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Nason Pettengill is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

When was the John Nason Pettengill's 1811090368 issued?

The John Nason Pettengill's 1811090368 was issued on 2006-09-07.

As of what date were the details related to John Nason Pettengill most recently updated or revised?

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

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