Individual
MS. PAMELA ESTHER PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26699 W 12 MILE RD STE 107, SOUTHFIELD, MI 48034-7814
(734) 961-7124
Mailing address
26699 W 12 MILE RD STE 107, SOUTHFIELD, MI 48034-7814
(734) 961-7124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003436
MI
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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