Mrs Laurel Jean Petro, MASSAGE THERAPIST | |
17202 Van Wagoner Rd, Spring Lake, MI 49456-9702 | |
(616) 402-6342 | |
(616) 296-2243 |
Full Name | Mrs Laurel Jean Petro |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 17202 Van Wagoner Rd, Spring Lake, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750787511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 7501001715 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Laurel Jean Petro, MASSAGE THERAPIST 17202 Vanwagoner Rd., Spring Lake, MI 49456 Ph: (616) 402-6342 | Mrs Laurel Jean Petro, MASSAGE THERAPIST 17202 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 402-6342 |
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