Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Dalton Pistol Mills, PTA

Individual provider Physical Therapy Assistant · NPI 1538982061

Jacob Dalton Pistol Mills, PTA is a Physical Therapy Assistant in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

21576 S Ellsworth Loop Rd Ste 108
Queen Creek, AZ 85142-1068
Phone: (602) 737-2275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 014294 (AZ)

Record details

NPI number1538982061
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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