Individual
ELIZABETH MAE PETERKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HEDMAN LN, MONTICELLO, MN 55362-8985
(218) 556-9790
Mailing address
124 HEDMAN LN, MONTICELLO, MN 55362-8985
(218) 556-9790
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
2297044
MN
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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