Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derry Petty, LMT

Individual provider Massage Therapist · NPI 1558812214

Derry Petty, LMT is a Massage Therapist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

337 Oak Grove Ave Apt I
Jackson, MI 49203-1394
Phone: (517) 416-5297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501006216 (MI)

Record details

NPI number1558812214
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 18, 2016
Last updated in NPPESOctober 29, 2016

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