Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA LEE PETTIT
Active Sole ProprietorREBECCA LEE PETTIT is a Skilled Nursing Facility healthcare provider located in ENUMCLAW, Washington. NPI 1144465659 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · ENUMCLAW, WA
Registration Details
- NPI Number
- 1144465659
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2008 (17.65048782905 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
60047356 (WA)8570 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2323 JENSEN STENUMCLAW, WA, 980223605Browse WA providers · Browse ZIP 98022
- Phone
- 3608252541
- Primary Specialty
-
Skilled Nursing Facility
314000000X
- Additional Specialty
- Skilled Nursing Facility
Other Skilled Nursing Facility Providers in ENUMCLAW, WA
| Name | Credential | NPI |
|---|---|---|
| MS. KERA SHVONNE SCOTT | PTA | 1760797492 |
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.