| Mr Jeremy Thomas Pettinger, MPT | |
|
126 E Main St, Grangeville, ID 83530-2211 | |
| (208) 406-5195 | |
| Not Available |
| Full Name | Mr Jeremy Thomas Pettinger |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 126 E Main St, Grangeville, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700916087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-1913 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Thomas Pettinger, MPT Po Box 327, Grangeville, ID 83530-0327 Ph: (208) 406-5195 | Mr Jeremy Thomas Pettinger, MPT 126 E Main St, Grangeville, ID 83530-2211 Ph: (208) 406-5195 |
Melissa Lane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1973 | |
Benjamin Allen Detweiler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 | |
Oi Min Anthony Chai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 Farrens Creek Lane, Grangeville, ID 83530 Phone: 951-205-2380 | |
Grangeville Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 617 W North St, Grangeville, ID 83530 Phone: 208-983-2241 Fax: 208-983-2766 |