Petaisto, Mary Elizabeth
Petaisto, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 1000 Country Ln Ste 400 , Ishpeming MI 49849-3410. 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. Petaisto, Mary Elizabeth can be contacted via phone (906) 486-2000.Contact Information
Primary practice address
1000 Country Ln Ste 400
Ishpeming MI 49849-3410
Phone: (906) 486-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 7501004610 | Michigan |
Profile Details
| NPI number | 1023733193 |
|---|---|
| LBN Legal business name | Petaisto, Mary Elizabeth |
| Credentials | MASSAGE THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2022 |
| Last updated | Oct 11th, 2022 - about 2 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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