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KAYLA LYNNE PETTIT
NPI 1023586542
Massage Therapist in Grand Rapids, MI

Active since November 02, 2018
435 CHERRY ST SE # B, GRAND RAPIDS, MI 49503(616) 233-0960 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2024, Nov 2, 2018 (2 updates tracked since 2018).

About Kayla Lynne Pettit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA LYNNE PETTIT (NPI 1023586542) is an individual massage therapist in Grand Rapids, Michigan, licensed in Michigan (7501007112) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1023586542
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKAYLA LYNNE PETTIT
Location Address435 CHERRY ST SE # BGrand Rapids, MI 49503-4672
Mailing Address3351 Eagle Run Dr Ne Ste BGrand Rapids, MI 49525-7070 · (616) 233-0960
Phone(616) 233-0960
Sole ProprietorNo
Enumeration DateNovember 2, 2018
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1023586542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501007112
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
435 CHERRY ST SE # B, Grand Rapids, MI 49503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Pettit's NPI number?

The NPI number for Kayla Pettit is 1023586542. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Kayla Pettit located?

Kayla Pettit practices at 435 Cherry St SE # B, Grand Rapids, MI 49503. The listed phone number is (616) 233-0960.

What is Kayla Pettit's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kayla Pettit was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.