PRECIOUS A PETTAWAY - NPI 1992053037 - Rehabilitation Practitioner in North Las Vegas, NV

Q: What is Precious Pettaway's NPI number?

The NPI number for Precious Pettaway is 1992053037. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Q: What is Precious Pettaway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Precious Pettaway was last updated on August 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Precious A Pettaway NPPES

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

PRECIOUS A PETTAWAY (NPI 1992053037) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1992053037

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NamePRECIOUS A PETTAWAY

Location Address3624 RUSSIAN OLIVE STNorth Las Vegas, NV 89032-7643

Mailing Address3624 Russian Olive StNorth Las Vegas, NV 89032-7643 · (702) 353-1079

Phone(702) 353-1079

Sole ProprietorYes

Enumeration DateAugust 21, 2012

✔ NPI 1992053037 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.

3624 RUSSIAN OLIVE ST, North Las Vegas, NV 89032

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRINCESS IANA NIOMI CARTER

Counselor (Mental Health)