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

Lori Pettit, PTA

Individual provider Physical Therapy Assistant · NPI 1376191908

Lori Pettit, PTA is a Physical Therapy Assistant in Pleasant Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Phone: (262) 612-2831
Fax: (262) 612-2893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2486-19 (WI)

Record details

NPI number1376191908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019
Mailing address7531 32nd Ave, Kenosha, WI 53142-4429

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