Derry Petty, LMT
NPI 1558812214 · Massage Therapist · Jackson, MI
Derry Petty, LMT is a Massage Therapist provider in Jackson, MI (NPI 1558812214).
Provider details
- NPI number
- 1558812214
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7501006216 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2016-10-29
Frequently asked questions
- What is Derry Petty's NPI number?
- Derry Petty's National Provider Identifier (NPI) is 1558812214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derry Petty's specialty?
- Derry Petty is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derry Petty located?
- Derry Petty's practice location on file with NPPES is 337 Oak Grove Ave Apt I, Jackson, MI 49203-1394.
- What is Derry Petty's phone number?
- The practice phone number listed in the NPPES registry for Derry Petty is (517) 416-5297.
- Is Derry Petty's NPI active?
- Yes — Derry Petty's NPI (1558812214) is active in the NPPES registry as of the last update on 2016-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.