MRS. Ellen Jill Petron, C.M.T.

NPI #1730432238 in Foley, Minnesota

Provider Information

NPI Number: 1730432238
Entity Type: Individual
Name: MRS. Ellen Jill Petron, C.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: C.M.T.
Enumeration Date: Oct 22, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 401 DEWEY ST
City: Foley
State: Minnesota
ZIP Code: 56329-8406
Phone: (320) 968-7413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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