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Contact Information

ALEXIS PETTWAY, ATC
13847 EARLHAM DRIVE
WHITTIER, CA90602
 Phone: 562-907-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ALEXIS PETTWAY · (Female)

NPI Number 1346896412
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/14/2019
Last updated 08/14/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 2000007378
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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