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Mr. Jon R Petersen, LMT
Massage Therapist in Mchenry, Illinois
NPI 1396937330

Jon R Petersen is a Massage Therapist based in Mchenry, IL. Jon R Petersen practices in Mchenry, IL and has the professional credentials of LMT. The NPI Number for Jon R Petersen is 1396937330 and holds a License No. 227-000243 (Illinois).

The current practice location address for Jon R Petersen is 1307 Court St, Mchenry, IL and can be reached out via phone at 815-385-8190.

Location: 1307 Court St, Mchenry, IL, 60050-4422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396937330
Provider Name
Jon R Petersen
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1307 Court St, Mchenry, IL, 60050-4422
Phone Number
815-385-8190
Fax Number
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1307 Court St
City
Mchenry
State
Illinois
Zip
60050-4422
Phone Number
815-385-8190
Fax Number
person
Provider Business Mailing Address Details
Address
1307 Court St
City
Mchenry
State
Illinois
Zip
60050-4422
Phone Number
815-385-8190
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227-000243 (Illinois)
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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