NPI 1598287351

Bonnie Pettis

Practitioner Recreational Therapist Assistant Eau Claire, WI

Practice location

Address: 1405 Truax Blvd, Eau Claire, WI 54703-1474
Phone: (715) 552-1030

Registered specialties

Recreational Therapist Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226000000X

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Registry record

NPI: 1598287351
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2017
Record last updated: 13 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.