Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOVON PETTY, LAT, ATC
Active Sole ProprietorJOVON PETTY, LAT, ATC is a Athletic Trainer healthcare provider located in GLENSIDE, Pennsylvania. NPI 1619441912 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GLENSIDE, PA
Registration Details
- NPI Number
- 1619441912
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2019 (7.553139543986 yrs)
- Last Updated
- Apr 6, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
629 LAVEROCK RDGLENSIDE, PA, 190382817Browse PA providers · Browse ZIP 19038
- Phone
- 2159101476
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GLENSIDE, PA
| Name | Credential | NPI |
|---|---|---|
| KELLY GRAHAM | — | 1134669682 |
| MS. HEATHER MARIE OLEX | ATC | 1497231088 |
| MS. DANIELLE M DUFFY | LAT ATC | 1164077574 |
| LEE DEHEER | ATC | 1124674874 |
| NICOLE HAZLEWOOD | — | 1215638739 |
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.