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

Kaitlyn Rene Petty

Individual provider Athletic Trainer · NPI 1922702174

Kaitlyn Rene Petty is an Athletic Trainer in Springfield, Missouri. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

901 S National Ave # PROF160
Springfield, MO 65897-0027
Phone: (417) 836-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1922702174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023

Other providers in Springfield