Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jovon Petty, LAT, ATC

Individual provider Athletic Trainer · NPI 1619441912

Jovon Petty, LAT, ATC is an Athletic Trainer in Glenside, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

629 Laverock Rd
Glenside, PA 19038-2817
Phone: (215) 910-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1619441912
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 20, 2019
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

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