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MARY ELIZABETH PETAISTO MASSAGE THERAPIST
NPI 1023733193
Massage Therapist in Ishpeming, MI

Active since October 11, 2022
1000 COUNTRY LN STE 400, ISHPEMING, MI 49849(906) 486-2000 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Elizabeth Petaisto Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH PETAISTO MASSAGE THERAPIST (NPI 1023733193) is an individual massage therapist in Ishpeming, Michigan, licensed in Michigan (7501004610) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1023733193
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARY ELIZABETH PETAISTOCredential: MASSAGE THERAPIST
Location Address1000 COUNTRY LN STE 400Ishpeming, MI 49849-3410
Mailing Address2083 Wright StMarquette, MI 49855-1465 · (906) 204-9666
Phone(906) 486-2000
Sole ProprietorYes
Enumeration DateOctober 11, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1023733193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501004610
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1000 COUNTRY LN STE 400, Ishpeming, MI 49849
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE BRANDENBURG LMT
Massage Therapist
1000 COUNTRY LN STE 400
ISHPEMING, MI 49849
Marquette County (906) 486-2000
JUSTIN BOSTEN BCSI, LMT
Massage Therapist
1000 COUNTRY LN STE 400
ISHPEMING, MI 49849
Marquette County (906) 486-2000
KARI LYNNETTE FARKAS LMT
Massage Therapist
1000 COUNTRY LN STE 400
ISHPEMING, MI 49849
Marquette County (906) 486-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Petaisto's NPI number?

The NPI number for Mary Petaisto is 1023733193. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Mary Petaisto located?

Mary Petaisto practices at 1000 Country Ln Ste 400, Ishpeming, MI 49849. The listed phone number is (906) 486-2000.

What is Mary Petaisto's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mary Petaisto was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.