Individual
JUSTIN LEE THEISS
Active
Individual
JUSTIN LEE THEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, DSCPT
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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