Individual provider · Type 1 NPI

Kelly Jo Petska

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1285046946 Active

Practice location

6889 S Eastern Ave
Las Vegas, NV 89119-4687

Mailing address

2116 Betty Davis St
Las Vegas, NV 89142-4703

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1285046946

Kelly Jo Petska's National Provider Identifier is 1285046946, issued on May 28, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on May 28, 2014.