Most Relevant Information
Provider Data
| NPI Number: | 1003392812 |
| Provider Name: | LEO DILLON PETTIT LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 133088 |
Most Important Dates
| Enumeration Date: | 07/15/2018 |
| Last Updated: | 02/03/2022 |
Provider Practice Location
10823 E PALMER WASILLA HWY STE 4
PALMER
AK
996459498
Practice Location Phone/Fax
| Phone: | 9077073847 |
| Fax: |
Provider Mailing Location
10823 E PALMER WASILLA HWY STE 4
PALMER
AK
996459498
Provider Mailing Phone/Fax
| Phone: | 9077073847 |
| Fax: |