IndividualActive
Andrea Pettit, ATC
NPI 1932144979 · Athletic Trainer · Portland, ME
Provider details
- NPI number
- 1932144979
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT216 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
331 Veranda St
Portland, ME 04103-5545
Phone: (207) 766-3125
Approximate (ZIP-level) locationGet directions
Mailing address
67 Hearn Rd
Scarborough, ME 04074-9135
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2023-01-03
- Certified
- 2023-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.