NPI

Jamie Rhiannan Petty

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
LMT
Type
Individual
Enumeration date
2022-09-07
Last updated
2022-09-07

Specialties

Licenses

License IL
227016665

Location

Practice location
13 S Main St
City
Smithton IL
Postal code
62285-1794
Phone
(618) 266-2696

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Smithton, IL. 44 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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