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MRS. LAUREL JEAN PETRO MASSAGE THERAPIST NPI 1750787511


NPI Information

NPI: 1750787511
Provider Name: MRS. LAUREL JEAN PETRO, MASSAGE THERAPIST
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
17202 VAN WAGONER RD
SPRING LAKE, MI
ZIP 49456
Phone: (616) 402-6342
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MRS. Laurel Jean Petro, MASSAGE THERAPIST is a massage therapist in Spring Lake, MI. The provider is 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. MRS. Laurel Jean Petro, MASSAGE THERAPIST NPI is 1750787511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17202 VAN WAGONER RD
SPRING LAKE, MI
ZIP 49456-702
Phone: (616) 402-6342
Fax: (616) 296-2243

The enumeration date for this NPI number is 11/6/2014 and was last updated on 11/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist7501001715MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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