Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KEITH PETITT, LMT
Active Sole ProprietorMICHAEL KEITH PETITT, LMT is a Massage Therapist healthcare provider located in SHARPSBURG, Kentucky. NPI 1003425216 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SHARPSBURG, KY
Registration Details
- NPI Number
- 1003425216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2020 (6.051061219514 yrs)
- Last Updated
- Jul 24, 2020
- License
-
165118 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 MAIN STREETSHARPSBURG, KY, 40374Browse KY providers · Browse ZIP 40374
- Phone
- 6063360246
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.