Individual
LEO DILLON PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10823 E PALMER WASILLA HWY STE 4, PALMER, AK 99645-9498
(907) 707-3847
Mailing address
10823 E PALMER WASILLA HWY STE 4, PALMER, AK 99645-9498
(907) 707-3847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
133088
AK
Other
Enumeration date
07/15/2018
Last updated
02/03/2022
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