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

Shanice C Pettigrew, PTA

Individual provider Physical Therapy Assistant · NPI 1821643362

Shanice C Pettigrew, PTA is a Physical Therapy Assistant in Wynne, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

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

See every abbreviation used in this directory →

Practice location Address checks out

661 Highway 64B
Wynne, AR 72396-8506
Phone: (870) 238-7038
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 PTA4462 (AR)

Record details

NPI number1821643362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019

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