Individual
KAYLA LYNNE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 CHERRY ST SE # B, GRAND RAPIDS, MI 49503-4672
(616) 233-0960
Mailing address
3351 EAGLE RUN DR NE STE B, GRAND RAPIDS, MI 49525-7070
(616) 233-0960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007112
MI
Other
Enumeration date
11/02/2018
Last updated
04/18/2024
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