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Brenda Petticrew, LMT
NPI 1568810331 · on the registry since 2016 · sole proprietor
Practice
- Address
- 409 S Hickory St
Shannon, IL 61078 - Phone
- (815) 238-2588
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-02
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 Illinois