Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN J PETTIS II, ATC
Active Sole ProprietorSTEPHEN J PETTIS II, ATC is a Athletic Trainer healthcare provider located in EL MIRAGE, Arizona. NPI 1871137455 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EL MIRAGE, AZ
Registration Details
- NPI Number
- 1871137455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2019 (6.7607213332336 yrs)
- Last Updated
- May 25, 2022
- License
-
ATR-009254 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12974 W VIA CAMILLEEL MIRAGE, AZ, 853355300Browse AZ providers · Browse ZIP 85335
- Phone
- 6193798814
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in EL MIRAGE, AZ
| Name | Credential | NPI |
|---|---|---|
| ANA ARREDONDO MATEHUALA | — | 1003673732 |
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.