Individual provider · Type 1 NPI

Mary Elizabeth Petaisto, MASSAGE THERAPIST

Massage Therapist · Ishpeming, MI

NPI number 1023733193 Active

Practice location

1000 Country Ln Ste 400
Ishpeming, MI 49849-3410

Call (906) 486-2000 Map

Mailing address

2083 Wright St
Marquette, MI 49855-1465

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501004610 (MI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

3 other providers at this address

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About NPI 1023733193

Mary Elizabeth Petaisto, MASSAGE THERAPIST's National Provider Identifier is 1023733193, issued on Oct 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ishpeming, MI. The record was last updated on Oct 11, 2022.