Individual provider · Type 1 NPI
Nicole Pettit, LMT
Massage Therapist · Fairmont, WV
NPI number
1659186401
Active
Practice location
1827 Locust Ave
Fairmont, WV 26554-1236
Mailing address
18 Meredith Ln
Fairmont, WV 26554-9814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2021-3830 (WV) |
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 1659186401
Nicole Pettit, LMT's National Provider Identifier is 1659186401, issued on Feb 10, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairmont, WV. The record was last updated on Feb 10, 2025.