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

Individual provider Athletic Trainer · NPI 1558964056

Marie Lynn Pettitt is an Athletic Trainer in Tonawanda, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

355 Adam St
Tonawanda, NY 14150-1903
Phone: (716) 957-2674
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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 number1558964056
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

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