Derry Petty, LMT

NPI #1558812214 in Jackson, Michigan

Provider Information

NPI Number
1558812214
Entity Type
Individual
Name
Derry Petty, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Oct 18, 2016
Last Updated
Oct 29, 2016

Practice Location

Address
337 OAK GROVE AVE APT I
ZIP Code
49203-1394
Phone
(517) 416-5297

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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