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KIMBERLY PETTWAY LMT
NPI 1255052486
Massage Therapist in Hayneville, AL

Active since September 06, 2022
1569 STATE HIGHWAY 21 N, HAYNEVILLE, AL 36040(334) 669-0970 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Pettway Lmt NPPES

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

KIMBERLY PETTWAY LMT (NPI 1255052486) is an individual massage therapist in Hayneville, Alabama, licensed in Alabama (5445) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255052486
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY PETTWAYCredential: LMT
Location Address1569 STATE HIGHWAY 21 NHayneville, AL 36040-2620
Mailing Address1569 State Highway 21 NHayneville, AL 36040-2620 · (334) 669-0970
Phone(334) 669-0970
Sole ProprietorYes
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1255052486 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 AL · 5445
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.
1569 STATE HIGHWAY 21 N, Hayneville, AL 36040
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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

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 Kimberly Pettway's NPI number?

The NPI number for Kimberly Pettway is 1255052486. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Kimberly Pettway located?

Kimberly Pettway practices at 1569 State Highway 21 N, Hayneville, AL 36040. The listed phone number is (334) 669-0970.

What is Kimberly 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 Kimberly Pettway was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.