Individual
KENDRA PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 N GRAND AVE, TAHLEQUAH, OK 74464-2301
(918) 444-3921
(918) 444-3954
Mailing address
600 N GRAND AVE, TAHLEQUAH, OK 74464-2301
(918) 444-3921
(918) 444-3954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
944
OK
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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