Pettus, Elliott

Pettus, Elliott is an individual health care provider with primary practice located at 2470 Flowood Dr , Flowood MS 39232-9019. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Pettus, Elliott can be contacted via phone (601) 983-2831.

Contact Information

Primary practice address
2470 Flowood Dr Flowood MS 39232-9019
Phone: (601) 983-2831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA5934 Mississippi

Profile Details

NPI number 1578911525
LBN Legal business name Pettus, Elliott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2016
Last updated Jun 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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