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

Individual provider Athletic Trainer · NPI 1134641608

Mr. Adrian Pettaway, ATC is an Athletic Trainer in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2510 W Rio Salado Pkwy
Mesa, AZ 85201-3603
Phone: (301) 275-1176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1134641608
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 16, 2017
Last updated in NPPESOctober 31, 2017

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