Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY THOMAS PETTINGER, MPT
ActiveMR. JEREMY THOMAS PETTINGER, MPT is a Physical Therapy Assistant healthcare provider located in GRANGEVILLE, Idaho. NPI 1700916087 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1700916087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.257218669158 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT-1913 (ID)
Practice Information
- Address
-
126 E MAIN STGRANGEVILLE, ID, 835302211Browse ID providers · Browse ZIP 83530
- Phone
- 2084065195
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRANGEVILLE, ID
| Name | Credential | NPI |
|---|---|---|
| OI MIN ANTHONY CHAI | — | 1679875462 |
| MELISSA LANE | DPT | 1205252483 |
| BENJAMIN REEVES | DPT | 1710858402 |
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.