# DR. NEIL JACOB HALTOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306493812
- **Gender:** Man
- **Credential:** PT, DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 05013487A | IN | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | CP049459T | PA | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | PT015162 | GA | Yes |
| 2251S0007X | Sports Physical Therapist | PT015162 | GA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT015162 | GA | — |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 06/17/2026