Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenda L Petticrew, LMT

Individual provider Specialist · NPI 1568810331

Brenda L Petticrew, LMT is a Specialist in Shannon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

409 S Hickory St
Shannon, IL 61078-9017
Phone: (815) 238-2588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 227.016348 (IL)

Record details

NPI number1568810331
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 2, 2016
Last updated in NPPESJune 2, 2016