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KRISTI JETT MD NPI 1417049685


NPI Information

NPI: 1417049685
Provider Name: KRISTI JETT, MD
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
1102 NE 4TH ST
BEND, OR
ZIP 97701
Phone: (541) 389-0450
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KRISTI JETT, MD is a neuromusculoskeletal medicine sports medicine in Bend, OR. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ KRISTI JETT, MD NPI is 1417049685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1102 NE 4TH ST
BEND, OR
ZIP 97701-533
Phone: (541) 389-0450
Fax: (541) 389-9567

The provider's authorized official is Kristi J Jett .
The authorized official title is Owner/physician and has the following contact phone number (541) 389-0450.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineMD14733OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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