Provider Demographics
NPI:1942536420
Name:KREIT, JUSTIN MARTYN (DPT)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:MARTYN
Last Name:KREIT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20370 LORAIN RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44126-3411
Mailing Address - Country:US
Mailing Address - Phone:440-356-3213
Mailing Address - Fax:440-331-0453
Practice Address - Street 1:20370 LORAIN RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44126-3411
Practice Address - Country:US
Practice Address - Phone:440-356-3213
Practice Address - Fax:440-331-0453
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH012499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist