Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MATTHEW PETTIT, DPT
ActiveJACOB MATTHEW PETTIT, DPT is a Ergonomics (Occupational Therapy) healthcare provider located in BLACKFOOT, Idaho. NPI 1437888062 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · BLACKFOOT, ID
Registration Details
- NPI Number
- 1437888062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2022 (4.2049683305225 yrs)
- Last Updated
- Jun 8, 2022
- License
-
PT-8007 (ID)
Practice Information
- Address
-
1250 W BRIDGE STBLACKFOOT, ID, 832215095Browse ID providers · Browse ZIP 83221
- Phone
- 2087858018
- Fax
- 2087853332
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.