Individual
KATIE PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14631 FLOYD ST, OVERLAND PARK, KS 66223-2244
(913) 907-8307
Mailing address
14631 FLOYD ST, OVERLAND PARK, KS 66223-2244
(913) 907-8307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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