person
Jacob Matthew Pettit, DPT
Orthopedic Physical Therapist in Blackfoot, Idaho
NPI 1437888062

Jacob Matthew Pettit is a Orthopedic Physical Therapist based in Pocatello, ID and is specialized in Orthopedic. Jacob Matthew Pettit practices in Blackfoot, ID and has the professional credentials of DPT. The NPI Number for Jacob Matthew Pettit is 1437888062 and holds a License No. PT-8007 (Idaho).

The current practice location address for Jacob Matthew Pettit is 1250 W Bridge St, Blackfoot, ID and can be reached out via phone at 208-785-8018 and via fax at 208-785-3332.

Location: 1250 W Bridge St, Blackfoot, ID, 83201-4506
person
Provider Profile Details
NPI Number
1437888062
Provider Name
Jacob Matthew Pettit
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1250 W Bridge St, Blackfoot, ID, 83201-4506
Phone Number
208-785-8018
Fax Number
208-785-3332
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1250 W Bridge St
City
State
Zip
83221-5095
Phone Number
208-785-8018
Fax Number
208-785-3332
person
Provider Business Mailing Address Details
Address
1250 W Bridge St
City
State
Zip
83221-5095
Phone Number
208-785-8018
Fax Number
208-785-3332
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
PT-8007 (Idaho)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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