Jason Petty
NPI #1598302366 in Wytheville, Virginia
Provider Information
- NPI Number
- 1598302366
- Entity Type
- Individual
- Name
- Jason Petty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Nov 29, 2019
- Last Updated
- Nov 29, 2019
Practice Location
- Address
- 1570 W RESERVOIR ST
- City
- Wytheville
- State
- Virginia
- ZIP Code
- 24382-1500
- Phone
- (276) 228-5411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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