Kimberly Pettway, LMT is a
Massage Therapist based in Hayneville, Alabama. Kimberly Pettway is licensed to practice in Alabama (license number 5445) and her current practice location is
1569 State Highway 21 N, Hayneville, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 669-0970.
NPI number for Kimberly Pettway is 1255052486 and her current mailing address is 1569 State Highway 21 N, Hayneville, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255052486.
Healthcare Provider's Profile
Full Name | Kimberly Pettway |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1569 State Highway 21 N, Hayneville, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255052486
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for Kimberly Pettway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255052486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 5445 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Pettway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Pettway, LMT 1569 State Highway 21 N, Hayneville, AL 36040-2620 Ph: (334) 669-0970 | Kimberly Pettway, LMT 1569 State Highway 21 N, Hayneville, AL 36040-2620 Ph: (334) 669-0970 |
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