Individual
UGISHIA PETTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31904 RYAN RD, WARREN, MI 48092-1339
(586) 344-4458
Mailing address
8102 E JEFFERSON AVE APT B303, DETROIT, MI 48214-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016751
MI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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