Individual
MR. JAMES E PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1079 BILTMORE PL, CLARKSVILLE, TN 37042-4767
(931) 338-4938
Mailing address
1079 BILTMORE PL, CLARKSVILLE, TN 37042-4767
(931) 338-4938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000000000007079
TN
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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