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BONNIE PETTIS NPI 1598287351


NPI Information

NPI: 1598287351
Provider Name: BONNIE PETTIS
Classification: Recreational Therapist Assistant - 226000000X
Entity Type: Individual
Address:
1405 TRUAX BLVD
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 552-1030
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Bonnie Pettis is a recreational therapist assistant in Eau Claire, WI. The provider is recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts. Bonnie Pettis NPI is 1598287351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1405 TRUAX BLVD
EAU CLAIRE, WI
ZIP 54703-474
Phone: (715) 552-1030

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1226000000XRecreational Therapist AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.