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

Kelli Renae Pettijohn

Individual provider Physical Therapy Assistant · NPI 1417439977

Kelli Renae Pettijohn is a Physical Therapy Assistant in Manhattan, Kansas. Licensed in Kansas. Registered with an NPI since 2018.

Licensed in
KS
In the registry since
2018

Practice location Address checks out

1133 College Ave
Manhattan, KS 66502-2770
Phone: (785) 539-9669
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14-03179 (KS)

Record details

NPI number1417439977
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESAugust 31, 2018
Mailing address31015 K18 Hwy, Wamego, KS 66547-8024

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