Gleed, Justin Scott

Gleed, Justin Scott is an individual health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-5522. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gleed, Justin Scott can be contacted via phone (505) 846-3241.

Contact Information

Primary practice address
2050A 2Nd St Se Kirtland Afb NM 87117-5522
Phone: (505) 846-3241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6409 Oregon

Profile Details

NPI number 1255635363
LBN Legal business name Gleed, Justin Scott
Credentials PT, DPT, OCS, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2011
Last updated Feb 27th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255635363 NPPES
Oregon MEDICAID 500630220

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