NPI 1003450453
Jon Garrelts
Practice location
- Address
- 15004 Innovation Dr, San Diego, CA 92128-3491
- Phone
- (858) 605-7189
- Mailing address
- 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705
Registered specialties
Sports Physical Therapist
Primary
Registry record
- NPI
- 1003450453
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Oct 2019
- Record last updated
- 27 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.