Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA ELIZABETH PITTENGER
Active Sole ProprietorLAURA ELIZABETH PITTENGER is a Athletic Trainer healthcare provider located in PONTIAC, Illinois. NPI 1104393164 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PONTIAC, IL
Registration Details
- NPI Number
- 1104393164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2018 (7.7732812870919 yrs)
- Last Updated
- Oct 29, 2018
- License
-
096001831 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 W REYNOLDS ST STE 103PONTIAC, IL, 617649774Browse IL providers · Browse ZIP 61764
- Phone
- 8158444062
- Fax
- 8158444962
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PONTIAC, IL
| Name | Credential | NPI |
|---|---|---|
| BRITTANY ANN DELANEY | ATC | 1861694408 |
| MRS. MELISSA HORNING | ATC | 1659848612 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.