Organization
KETTERING PHYSIATRISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETTY MD (PRESIDENT)
(937) 395-8666
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8666
(937) 395-8090
Mailing address
PO BOX 750245, DAYTON, OH 45475-0245
(937) 438-9500
(937) 438-9075
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35038579P
OH
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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