Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK JOEL LITTLE
ActiveJACK JOEL LITTLE is a Physical Therapy Assistant healthcare provider located in PEORIA, Arizona. NPI 1669029609 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PEORIA, AZ
Registration Details
- NPI Number
- 1669029609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2019 (6.9759539747403 yrs)
- Last Updated
- Oct 31, 2024
- Licenses
-
30858 (AZ)LPT-30858 (AZ)
Practice Information
- Address
-
9000 W THUNDERBIRD RD # 205PEORIA, AZ, 853814451Browse AZ providers · Browse ZIP 85381
- Phone
- 6024911948
- Fax
- 7209255897
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. IAN HOVER | PT, MPT | 1366445033 |
| LISA HAARER | DPT | 1417954710 |
| MR. CLINTON BORMAN | DPT, MTC | 1851398119 |
| MR. ROBERT LEE OAKESON | P.T. | 1598764680 |
| MR. JAMES P MORAN | PT | 1609850585 |
| MR. PATRICK J DOMANICO | PT | 1710966767 |
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.