Search › Idaho › 225100000X
Justin Pittman, PT, DPT
NPI 1669017539 · on the registry since 2019
Practice
- Address
- 1739 S Jade Way Ste 110
Meridian, ID 83642 - Phone
- (208) 207-5454
- Fax
- (208) 600-6064
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-25
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