Individual
JAMIE RHIANNAN PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13 S MAIN ST, SMITHTON, IL 62285-1794
(618) 266-2696
Mailing address
13 S MAIN ST, SMITHTON, IL 62285-1794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016665
IL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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