Makenzie Pettit
NPI #1730743899 in Bloomington, Illinois
Provider Information
- NPI Number
- 1730743899
- Entity Type
- Individual
- Name
- Makenzie Pettit
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 24, 2019
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 304 GOLDENROD RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7276
- Phone
- (309) 573-5394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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