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Derry Petty, LMT
Massage Therapist in Jackson, Michigan
NPI 1558812214

Derry Petty is a Massage Therapist based in Jackson, MI. Derry Petty practices in Jackson, MI and has the professional credentials of LMT. The NPI Number for Derry Petty is 1558812214 and holds a License No. 7501006216 (Michigan).

The current practice location address for Derry Petty is 337 Oak Grove Ave Apt I, Jackson, MI and can be reached out via phone at 517-416-5297. You can also correspond with Derry Petty through the mailing address at 337 OAK GROVE AVE APT I, JACKSON, MI - 49203-1394 (mailing address contact number: 517-416-5297).

Location: 337 Oak Grove Ave Apt I, Jackson, MI, 49203-1394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558812214
Provider Name
Derry Petty
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
337 Oak Grove Ave Apt I, Jackson, MI, 49203-1394
Phone Number
517-416-5297
Fax Number
Provider Enumeration Date
10/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
337 Oak Grove Ave Apt I
City
Jackson
State
Michigan
Zip
49203-1394
Phone Number
517-416-5297
Fax Number
person
Provider Business Mailing Address Details
Address
337 Oak Grove Ave Apt I
City
Jackson
State
Michigan
Zip
49203-1394
Phone Number
517-416-5297
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501006216 (Michigan)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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