Individual
MR. JESSE J. RETTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L/CPO
Contact information
Practice address
4242 MEDICAL DR BLDG 2, SAN ANTONIO, TX 78229-5640
(210) 614-8777
(210) 694-4581
Mailing address
4242 MEDICAL DR BLDG 2, SAN ANTONIO, TX 78229-5640
(210) 614-8777
(210) 694-4581
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1492
TX
224P00000X
Prosthetist
Primary
1492
TX
Other
Enumeration date
03/04/2009
Last updated
10/24/2025
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