Justin Michael Pettit, DPT
Physical Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1962397323
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1962397323
- Entity type
- Individual (NPI-1)
- Name
- Justin Michael Pettit
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4787 | NE | Yes |
Practice location
8642 F StOmaha, NE 68127-1639
Phone 402-393-9390 · Fax 402-393-9388
Mailing address
8642 F StOmaha, NE 68127-1639
Phone 402-393-9390 · Fax 402-393-9388
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