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LIDIA PETTIS
NPI 1770904682
Rehabilitation Practitioner in Las Vegas, NV

Active since December 18, 2013
1760 N DECATUR BLVD, 79, LAS VEGAS, NV 89108(702) 810-9742 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lidia Pettis NPPES

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

LIDIA PETTIS (NPI 1770904682) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1770904682
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLIDIA PETTIS
Location Address1760 N DECATUR BLVD, 79Las Vegas, NV 89108-2208
Mailing Address1760 N Decatur Blvd, 79Las Vegas, NV 89108-2208 · (702) 810-9742
Phone(702) 810-9742
Sole ProprietorYes
Enumeration DateDecember 18, 2013
✔ NPI 1770904682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1760 N DECATUR BLVD, Las Vegas, NV 89108
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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 Lidia Pettis's NPI number?

The NPI number for Lidia Pettis is 1770904682. It was assigned to this individual provider in the NPPES registry on December 18, 2013.

Where is Lidia Pettis located?

Lidia Pettis practices at 1760 N Decatur Blvd 79, Las Vegas, NV 89108. The listed phone number is (702) 810-9742.

What is Lidia Pettis's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Lidia Pettis was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.