NPI 1104027317

Jerry Charles Neistadt, MSPT

Practitioner Physical Therapist Melrose, MA

Practice location

Address: 22 Corey St, Melrose, MA 02176-4621
Phone: (781) 979-3165
Fax: (781) 979-3189
Mailing address: 72 Danforth CT, Haverhill, MA 01832-1195

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10270 (MA)

Other Physical Therapist providers in Massachusetts →

Registry record

NPI: 1104027317
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2007
Record last updated: 8 Jul 2007

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.