Mary Elizabeth Petaisto, MASSAGE THERAPIST

NPI #1023733193 in Ishpeming, Michigan

Provider Information

NPI Number
1023733193
Entity Type
Individual
Name
Mary Elizabeth Petaisto, MASSAGE THERAPIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
MASSAGE THERAPIST
Enumeration Date
Oct 11, 2022
Last Updated
Oct 11, 2022

Practice Location

Address
1000 COUNTRY LN STE 400
ZIP Code
49849-3410
Phone
(906) 486-2000

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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