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Jacob Pettit, DPT
NPI 1437888062 · on the registry since 2022
Practice
- Address
- 1250 W Bridge St
Blackfoot, ID 83221 - Phone
- (208) 785-8018
- Fax
- (208) 785-3332
- Organisation at this address
- Barnes Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho