| Doctor Name: | TREVOR W PETTINGILL |
| NPI Number: | 1033291075 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT00009504 |
| Business Practice Address: | 15617 Pacific Ave S Tacoma, WA - 984444609 |
| Business Phone Number: | 2535315645 |
| Business Fax Number: | 2535363467 |
| Mailing Address: | 8501 171st Street Ct E, PUYALLUP |
| State: | WA |
| Postal Code: | 983756181 |
| Phone Number: | 2537328116 |
| Fax Number: | 2535363467 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00009504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |