Individual
DR. MICHAEL TRAVIS PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10826 KINGSTON PIKE, KNOXVILLE, TN 37934-3059
(865) 675-5050
(865) 671-1321
Mailing address
10826 KINGSTON PIKE, KNOXVILLE, TN 37934-3059
(865) 675-5050
(865) 671-1321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811205
—
TN
Enumeration date
06/20/2005
Last updated
01/13/2013
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