Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD JOSHUA PETTY
ActiveRICHARD JOSHUA PETTY is a Athletic Trainer healthcare provider located in DUBACH, Louisiana. NPI 1730673633 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DUBACH, LA
Registration Details
- NPI Number
- 1730673633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2018 (8.1402719766864 yrs)
- Last Updated
- Jun 15, 2018
Practice Information
- Address
-
211 BROWN RDDUBACH, LA, 712353346Browse LA providers · Browse ZIP 71235
- Phone
- 3182572956
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.