MRS. Laurel Jean Petro, MASSAGE THERAPIST

NPI #1750787511 in Spring Lake, Michigan

Provider Information

NPI Number: 1750787511
Entity Type: Individual
Name: MRS. Laurel Jean Petro, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 17202 VAN WAGONER RD
City: Spring Lake
State: Michigan
ZIP Code: 49456-9702
Phone: (616) 402-6342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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