NPI 1003425216

Michael Keith Petitt, LMT

Practitioner Massage Therapist Sharpsburg, KY

Practice location

Address: 605 Main Street, Sharpsburg, KY 40374
Phone: (606) 336-0246
Mailing address: PO Box 208, Sharpsburg, KY 40374-0208

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 165118 (KY)

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Registry record

NPI: 1003425216
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2020
Record last updated: 24 Jul 2020

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.