Irish, Penny Marie

Irish, Penny Marie is an sole proprietor health care provider with primary practice located at 5515 Utica Ridge Rd , Davenport IA 52807-3928. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Irish, Penny Marie can be contacted via phone (563) 344-1050.

Contact Information

Primary practice address
5515 Utica Ridge Rd Davenport IA 52807-3928
Phone: (563) 344-1050
Fax: (563) 424-4579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.014374 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 006508 Illinois

Profile Details

NPI number 1275878837
LBN Legal business name Irish, Penny Marie
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2012
Last updated Dec 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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