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Mary Elizabeth Petaisto, MASSAGETHERAPIST
Massage Therapist in Ishpeming, Michigan
NPI 1023733193

Mary Elizabeth Petaisto is a Massage Therapist based in Marquette, MI. Mary Elizabeth Petaisto practices in Ishpeming, MI and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Mary Elizabeth Petaisto is 1023733193 and holds a License No. 7501004610 (Michigan).

The current practice location address for Mary Elizabeth Petaisto is 1000 Country Ln Ste 400, Ishpeming, MI and can be reached out via phone at 906-486-2000.

Location: 1000 Country Ln Ste 400, Ishpeming, MI, 49855-1465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023733193
Provider Name
Mary Elizabeth Petaisto
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
1000 Country Ln Ste 400, Ishpeming, MI, 49855-1465
Phone Number
906-486-2000
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Country Ln Ste 400
City
Ishpeming
State
Michigan
Zip
49849-3410
Phone Number
906-486-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Country Ln Ste 400
City
Ishpeming
State
Michigan
Zip
49849-3410
Phone Number
906-486-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501004610 (Michigan)
Definition
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.
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