Individual
TRACEE PETOSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 WELLINGTON DR, GWINN, MI 49841-9177
(906) 373-6690
Mailing address
117 FURY ST, GWINN, MI 49841-2704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015478
MI
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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