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Jeremy Pettinger, MPT
NPI 1700916087 · on the registry since 2007
Practice
- Address
- 126 E Main St
Grangeville, ID 83530 - Phone
- (208) 406-5195
- Organisation at this address
- Preferred Physical Therapy, P.A.
Inferred from a shared address, not stated in the registry.
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
- 2007-07-08
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