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Search › Virginia › 225200000X

Jason Petty

NPI 1598302366 · on the registry since 2019

Practice

Address
1570 W Reservoir St
Wytheville, VA 24382
Phone
(276) 228-5411
Organisation at this address
Wythe County Public Schools
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 202 Painter St, Galax, VA

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia