Individual
RACHEL PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
450 SANTA FE TRL, ELLENWOOD, GA 30294-2683
(770) 359-9368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005860
GA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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