Individual provider · Type 1 NPI

Candace Petty, LMT

Massage Therapist · Bowling Green, KY

NPI number 1699399600 Active

Practice location

546 Park St Ste 200
Bowling Green, KY 42101-1780

Call (270) 745-9399 Map

Mailing address

472 Vining Ct
Bowling Green, KY 42104-7759

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X260219 (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.

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About NPI 1699399600

Candace Petty, LMT's National Provider Identifier is 1699399600, issued on Jun 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bowling Green, KY. The record was last updated on Jun 4, 2020.