Jamie Rhiannan Petty, LMT

NPI #1861113052 in Smithton, Illinois

Provider Information

NPI Number: 1861113052
Entity Type: Individual
Name: Jamie Rhiannan Petty, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 7, 2022
Last Updated: Sep 7, 2022

Practice Location

Address: 13 S MAIN ST
City: Smithton
State: Illinois
ZIP Code: 62285-1794
Phone: (618) 266-2696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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