Individual
NICOLE PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1827 LOCUST AVE, FAIRMONT, WV 26554-1236
(304) 534-1066
Mailing address
18 MEREDITH LN, FAIRMONT, WV 26554-9814
(304) 534-1066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2021-3830
WV
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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