Individual
MR. JOE D PETTY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15454 N FRANK LLOYD BLVD, A-2 SUITE 19, SCOTTSDALE, AZ 85260
(480) 216-7569
Mailing address
1 W CAMPBELL AVE APT 2084, PHOENIX, AZ 85013-4915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-10388
AZ
Other
Enumeration date
01/26/2024
Last updated
01/30/2024
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