Jacklyn Rose Petretee
NPI #1255842134 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1255842134
- Entity Type
- Individual
- Name
- Jacklyn Rose Petretee
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Oct 18, 2017
- Last Updated
- Oct 18, 2017
Practice Location
- Address
- 24850 E STONECREST AVE
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-3403
- Phone
- (509) 230-4630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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