MS. PAMELA ESTHER PETTWAY LMT
NPI 1093509630
Massage Therapist in Southfield, MI

Active since April 08, 2025
26699 W 12 MILE RD STE 107, SOUTHFIELD, MI 48034(734) 961-7124 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Pamela Esther Pettway Lmt NPPES

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

MS. PAMELA ESTHER PETTWAY LMT (NPI 1093509630) is an individual massage therapist in Southfield, Michigan, licensed in Michigan (7501003436) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1093509630
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. PAMELA ESTHER PETTWAYCredential: LMT
Location Address26699 W 12 MILE RD STE 107Southfield, MI 48034-7814
Mailing Address26699 W 12 Mile Rd Ste 107Southfield, MI 48034-7814 · (734) 961-7124
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
NPI 1093509630 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 · 7501003436
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.
26699 W 12 MILE RD STE 107, Southfield, MI 48034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
26699 W 12 MILE RD STE 107
SOUTHFIELD, MI 48034

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 Pamela Pettway's NPI number?

The NPI number for Pamela Pettway is 1093509630. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Pamela Pettway located?

Pamela Pettway practices at 26699 W 12 Mile Rd Ste 107, Southfield, MI 48034. The listed phone number is (734) 961-7124.

What is Pamela Pettway'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 Pamela Pettway was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.