Michael Petrie, LMT

NPI #1316431042 in Parker, Colorado

Provider Information

NPI Number: 1316431042
Entity Type: Individual
Name: Michael Petrie, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 16, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 10841 S CROSSROADS DRIVE
Address 2: SUITE 17
City: Parker
State: Colorado
ZIP Code: 80134
Phone: (303) 841-7121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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