Individual provider · Type 1 NPI
Lidia Pettis
Rehabilitation Practitioner · Las Vegas, NV
NPI number
1770904682
Active
Practice location
1760 N Decatur Blvd, 79
Las Vegas, NV 89108-2208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None 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 1770904682
Lidia Pettis's National Provider Identifier is 1770904682, issued on Dec 18, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 18, 2013.