DERRY PETTY


Address: 337 Oak Grove Ave Apt I, Jackson, MI 49203-1394
Phone: 5174165297

DERRY PETTY (NPI# 1558812214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558812214
Entity Type Individual
Full Name DERRY PETTY
Credential LMT
Practice Address 337 Oak Grove Ave Apt I
Jackson
MI 49203-1394
Practice Telephone 5174165297
Mailing Telephone 5174165297
Enumeration Date 2016-10-18
Last Update Date 2016-10-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 7501006216 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 337 OAK GROVE AVE APT I
City JACKSON
State MI
Zip Code 49203-1394

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760900120 Cynthia A Rider Dmd Pllc Oral & Maxillofacial Surgery 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 2017-09-06
1407224280 Lucinda Gail Taggart Licensed Practical Nurse 1515 Greenwood Ave., Jackson, MI 49203 2015-09-10
1134514045 Christopher Dauterman Registered Nurse 1320 East Mcdevitt, Jackson, MI 49203 2015-03-30
1710386826 Steven Andrew Edwards Social Worker 505 Hickory Court, #2d, Jackson, MI 49203 2014-08-14
1861800666 Michigan Continuum Care Pllc Internal Medicine 1310 Greenwood Ave., Jackson, MI 49203 2014-07-25
1497014831 Barbara Cliffe-miller Physical Therapist 3510 Page Ave, Jackson, MI 49203 2012-05-04
1871822718 Sharon Ann Arendsen Respite Care 4043 Clarkway Rd, Jackson, MI 49203 2009-12-23
1669700456 Teresa Lynn Cox Technician, Other 3884 Franklin Rd., Jackson, MI 49203 2009-12-07
1942537097 Stacy Marie Chinevere I Counselor 326 Johnson St, Jackson, MI 49203 2009-11-11
1366672370 Sarah Elizabeth Hazlett Counselor 1522joy Avenue, Jackson, MI 49203 2009-07-24
Find all providers in zip 49203

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275154338 Crystal Edwards Massage Therapist 2718 Medgar Evers Blvd, Jackson, MS 39213-7257 2020-04-30
1568093367 Choice Chiropractic Pllc Massage Therapist 3343 Spring Arbor Rd Ste 300, Jackson, MI 49203-8623 2020-01-30
1821631474 Sherry J Miller Massage Therapist 18 Brentshire Sq Ste A, Jackson, TN 38305-2203 2019-10-25
1881236479 Donna Summers Massage Therapist 761 Woodlake Dr, Jackson, MS 39206-2219 2019-10-15
1689221574 Tanya Karr Massage Therapist 847 N Highway 49-88 Ste 4, Jackson, CA 95642-2013 2019-08-24
1285295881 Melissa Tittler Massage Therapist 119 Kenneth St, Jackson, MI 49203-1083 2019-06-25
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1619407046 Edwind Allen Holsey Massage Therapist 908 Union St, Jackson, MI 49203-2897 2017-06-18
1194171728 Angelina Bey Massage Therapist 1296 N Highland Ave, Ste 6, Jackson, TN 38301-4085 2016-05-12
1235593864 Martine Stevenson Massage Therapist 2905 Heritage Place Blvd, Apt# 4, Jackson, MI 49203-2276 2016-04-10
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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