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

Stephen J Pettis II, ATC

Individual provider Athletic Trainer · NPI 1871137455

Stephen J Pettis II, ATC is an Athletic Trainer in El Mirage, Arizona. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2019
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

12974 W Via Camille
El Mirage, AZ 85335-5300
Phone: (619) 379-8814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence ATR-009254 (AZ)

Record details

NPI number1871137455
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 6, 2019
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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