Michael Keith Petitt
Massage Therapist
605 Main Street
Sharpsburg
, Kentucky 40374
Michael Keith Petitt
Massage Therapist
605 Main Street
Sharpsburg
, Kentucky 40374
(606) 336-0246
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Michael Keith Petitt
- Po Box 208
- Sharpsburg, KY
- Zip : 40374-0208
- Phone : (606) 336-0246
Second Address
- Michael Keith Petitt
- 605 Main Street
- Sharpsburg, KY
- Zip : 40374
- Phone : (606) 336-0246
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 165118 | KY |
National Provider Identifier
| NPI | 1003425216 |
|---|---|
| Provider Name | Michael Keith Petitt |
| First Address | Sharpsburg, KY 40374-0208 |
| Second Address | Sharpsburg, KY 40374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2020 |
| Last Update Date | 24/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.