NPI 1003392812

Leo Dillon Pettit, LMT

Practitioner Massage Therapist Palmer, AK

Practice location

Address: 10823 E Palmer Wasilla Hwy STE 4, Palmer, AK 99645-9498
Phone: (907) 707-3847

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 133088 (AK)

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Registry record

NPI: 1003392812
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2018
Record last updated: 3 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.