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

MS. Kellie N Petty

Individual provider Developmental Therapist · NPI 1619121191

MS. Kellie N Petty is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

3440 S Cottage Grove Ave 1203
Chicago, IL 60616-4140
Phone: (773) 535-3471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1619121191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 10, 2008
Last updated in NPPESNovember 10, 2008
Mailing address3440 S Cottage Grove Ave, 1203, Chicago, IL 60616-4140

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