NPI 1275878837

Penny Marie Irish, LMT

Practitioner Massage Therapist Davenport, IA

Practice location

Address: 5515 Utica Ridge Rd, Davenport, IA 52807-3928
Phone: (563) 344-1050
Fax: (563) 424-4579
Mailing address: 3 Mary Lane CT, Geneseo, IL 61254-9578

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.014374 (IA)

Other Massage Therapist providers in Iowa →

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 006508 (IL)

Registry record

NPI: 1275878837
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2012
Record last updated: 6 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.