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Brenda L Petticrew, LMT
Specialist in Shannon, Illinois
NPI 1568810331

Brenda L Petticrew is a Specialist based in Shannon, IL. Brenda L Petticrew practices in Shannon, IL and has the professional credentials of LMT. The NPI Number for Brenda L Petticrew is 1568810331 and holds a License No. 227.016348 (Illinois).

The current practice location address for Brenda L Petticrew is 409 S Hickory St, Shannon, IL and can be reached out via phone at 815-238-2588.

Location: 409 S Hickory St, Shannon, IL, 61078-9017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568810331
Provider Name
Brenda L Petticrew
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
409 S Hickory St, Shannon, IL, 61078-9017
Phone Number
815-238-2588
Fax Number
Provider Enumeration Date
06/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 S Hickory St
City
Shannon
State
Illinois
Zip
61078-9017
Phone Number
815-238-2588
Fax Number
person
Provider Business Mailing Address Details
Address
409 S Hickory St
City
Shannon
State
Illinois
Zip
61078-9017
Phone Number
815-238-2588
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
227.016348 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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