Individual
MR. CHAD ALLAN PETITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 10TH ST, SHELDON, IA 51201-1529
(712) 324-0110
(712) 324-0031
Mailing address
301 10TH ST, SHELDON, IA 51201-1529
(712) 324-0110
(712) 324-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03442
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601260
—
IA
05
—
0655407
—
IA
05
—
0803635
—
IA
Enumeration date
11/14/2006
Last updated
09/17/2015
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