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

Mary Elizabeth Petaisto, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1023733193

Mary Elizabeth Petaisto, MASSAGETHERAPIST is a Massage Therapist in Ishpeming, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

1000 Country Ln Ste 400
Ishpeming, MI 49849-3410
Phone: (906) 486-2000
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501004610 (MI)

Record details

NPI number1023733193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateSeptember 19, 2022

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