# TREVOR W PETTINGILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033291075
- **Gender:** Man
- **Credential:** MPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 11729395-2401 | UT | Yes |
| 225100000X | Physical Therapist | PT00009504 | WA | — |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/02/2021