Jamie Rhiannan Petty, LMT is a
Massage Therapist based in Smithton, Illinois. Jamie Rhiannan Petty is licensed to practice in Illinois (license number 227016665) and her current practice location is
13 S Main St, Smithton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 266-2696.
NPI number for Jamie Rhiannan Petty is 1861113052 and her current mailing address is 13 S Main St, Smithton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861113052.
Healthcare Provider's Profile
| Full Name | Jamie Rhiannan Petty |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 13 S Main St, Smithton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861113052
- Provider Enumeration Date: 09/07/2022
- Last Update Date: 09/07/2022
Medical Identifiers
Medical identifiers for Jamie Rhiannan Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861113052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 227016665 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie Rhiannan Petty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jamie Rhiannan Petty, LMT 13 S Main St, Smithton, IL 62285-1794 Ph: () - | Jamie Rhiannan Petty, LMT 13 S Main St, Smithton, IL 62285-1794 Ph: (618) 266-2696 |
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