Individual provider · Type 1 NPI
Jamie Rhiannan Petty, LMT
Massage Therapist · Smithton, IL
NPI number
1861113052
Active
Practice location
13 S Main St
Smithton, IL 62285-1794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227016665 (IL) |
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.
Another provider at this address
About NPI 1861113052
Jamie Rhiannan Petty, LMT's National Provider Identifier is 1861113052, issued on Sep 7, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Smithton, IL. The record was last updated on Sep 7, 2022.