Individual provider · Type 1 NPI

Jacqueline Petty

Massage Therapist · Chesterfield, MO

NPI number 1508670449 Active

Practice location

42 Four Seasons Shopping Ctr Ste 111
Chesterfield, MO 63017-3197

Mailing address

896 Emerald Place Dr
St. Charles, MO 63304-1091

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2008017099 (MO)

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.

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About NPI 1508670449

Jacqueline Petty's National Provider Identifier is 1508670449, issued on Feb 3, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chesterfield, MO. The record was last updated on Feb 3, 2025.