MISS Penny Marie Irish, LMT

NPI #1275878837 in Davenport, Iowa

Provider Information

NPI Number: 1275878837
Entity Type: Individual
Name: MISS Penny Marie Irish, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 6, 2012
Last Updated: Dec 6, 2012

Practice Location

Address: 5515 UTICA RIDGE RD
City: Davenport
State: Iowa
ZIP Code: 52807-3928
Phone: (563) 344-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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