Individual provider · Type 1 NPI
Michael Keith Petitt, LMT
Massage Therapist · Sharpsburg, KY
NPI number
1003425216
Active
Practice location
605 Main Street
Sharpsburg, KY 40374
Mailing address
PO Box 208
Sharpsburg, KY 40374-0208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 165118 (KY) |
Massage Therapist: 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.
About NPI 1003425216
Michael Keith Petitt, LMT's National Provider Identifier is 1003425216, issued on Jul 24, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sharpsburg, KY. The record was last updated on Jul 24, 2020.