Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENDRA PETTIT, ATC
Active Sole ProprietorKENDRA PETTIT, ATC is a Athletic Trainer healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1427581958 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1427581958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2017 (9.3296682099698 yrs)
- Last Updated
- Apr 11, 2017
- License
-
944 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 N GRAND AVETAHLEQUAH, OK, 744642301Browse OK providers · Browse ZIP 74464
- Phone
- 9184443921
- Fax
- 9184443954
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| MR. RODNEY THOMAS LECHTENBERG JR. | ATC, LAT | 1619964582 |
| MR. ZACHARY DANIEL COLLETT | M.S., ATC, LAT | 1932271798 |
| WESLEY GRAGG | ATC/L | 1033532635 |
| MR. MICHAEL GOEDECKE | MS ATC LAT | 1962818914 |
| MR. JAMES BLOOMCAMP | ATC | 1063816817 |
| MS. SHANNON RAE SLAYTON | ATC, LAT | 1679950141 |
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.