IndividualActive
Jon Garrelts
NPI 1003450453 · Sports Physical Therapist · San Diego, CA
Provider details
- NPI number
- 1003450453
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT23941 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15004 Innovation Dr
San Diego, CA 92128-3491
Phone: (858) 605-7189
Approximate (ZIP-level) locationGet directions
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Registry dates
- Enumerated
- 2019-10-29
- Last updated
- 2021-12-27
- Certified
- 2021-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.