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MAKENZIE PETTIT
NPI 1730743899
Speech-Language Pathologist in Bloomington, IL

Active since April 24, 2019
304 GOLDENROD RD, BLOOMINGTON, IL 61704(309) 573-5394(309) 324-7003 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2023, Aug 27, 2019, Apr 24, 2019 (3 updates tracked since 2019).

About Makenzie Pettit NPPES

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

MAKENZIE PETTIT (NPI 1730743899) is an individual speech-language pathologist provider in Bloomington, Illinois and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1730743899
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMAKENZIE PETTIT
Location Address304 GOLDENROD RDBloomington, IL 61704-7276
Mailing Address304 Goldenrod RdBloomington, IL 61704-7276 · (309) 573-5394 · Fax (309) 324-7003
Phone(309) 573-5394
Fax(309) 324-7003
Sole ProprietorNo
Enumeration DateApril 24, 2019
Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1730743899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
304 GOLDENROD RD, Bloomington, IL 61704
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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 Makenzie Pettit's NPI number?

The NPI number for Makenzie Pettit is 1730743899. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Makenzie Pettit located?

Makenzie Pettit practices at 304 Goldenrod Rd, Bloomington, IL 61704. The listed phone number is (309) 573-5394.

What is Makenzie Pettit's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Makenzie Pettit was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.