Individual
JUSTIN LEE THEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, DSCPT
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-0470
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-0470
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PT19632
FL
225100000X
Physical Therapist
Primary
PT19632
FL
Other
Enumeration date
03/23/2006
Last updated
05/29/2025
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