DERRY PETTY, LMT
Massage Therapist
Active
Individual
NPI: 1558812214
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 7501006216 (MI) |
Frequently Asked Questions
NPI 1558812214 is the National Provider Identifier for DERRY PETTY, LMT, a Massage Therapist provider located in Jackson, MI. This NPI was enumerated on October 18, 2016.
DERRY PETTY, LMT practices at 337 OAK GROVE AVE APT I, Jackson, MI 49203.
Quick Facts
- NPI
- 1558812214
- Type
- Individual
- Enumerated
- Oct 18, 2016
- Last Updated
- Oct 29, 2016
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