Individual
TREVOR W PETTINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
555 S BLUFF ST STE 102, ST GEORGE, UT 84770-7321
(435) 215-1866
(435) 215-1844
Mailing address
8501 171ST STREET CT E, PUYALLUP, WA 98375-6181
(253) 732-8116
(253) 536-3467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11729395-2401
UT
225100000X
Physical Therapist
PT00009504
WA
Other
Enumeration date
10/19/2006
Last updated
06/02/2021
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