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BRENDA L PETTICREW LMT
NPI 1568810331
Specialist in Shannon, IL

Active since June 02, 2016
409 S HICKORY ST, SHANNON, IL 61078(815) 238-2588 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda L Petticrew Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA L PETTICREW LMT (NPI 1568810331) is an individual specialist in Shannon, Illinois, licensed in Illinois (227.016348) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1568810331
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBRENDA L PETTICREWCredential: LMT
Location Address409 S HICKORY STShannon, IL 61078-9017
Mailing Address409 S Hickory StShannon, IL 61078-9017 · (815) 238-2588
Phone(815) 238-2588
Sole ProprietorYes
Enumeration DateJune 2, 2016
✔ NPI 1568810331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 227.016348
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
409 S HICKORY ST, Shannon, IL 61078
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Petticrew's NPI number?

The NPI number for Brenda Petticrew is 1568810331. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Brenda Petticrew located?

Brenda Petticrew practices at 409 S Hickory St, Shannon, IL 61078. The listed phone number is (815) 238-2588.

What is Brenda Petticrew's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brenda Petticrew was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.