Penny Irish, LMT

NPI 1275878837 · on the registry since 2012 · sole proprietor

Practice

Address: 5515 Utica Ridge Rd
Davenport, IA 52807
Phone: (563) 344-1050
Fax: (563) 424-4579
Organisation at this address: Dtox, Inc
Pain Consultants, P.C.
Anesthesia & Pain Consultants, Pc
Christopher C. Friedl And Lauren E. Jensen Endodontics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 225700000X
225700000X
Also registered as: 225700000X
Licence states on file: IA, IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa