Most Relevant Information
Provider Data
| NPI Number: | 1003253501 |
| Provider Name: | JENNY MARIE RAETY LMT-CMMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 556 |
Most Important Dates
| Enumeration Date: | 05/24/2013 |
| Last Updated: | 05/24/2013 |
Provider Practice Location
5415 W. HARMON AVE.
UNIT# 1191
LAS VEGAS
NV
891037046
Practice Location Phone/Fax
| Phone: | 7024603212 |
| Fax: |
Provider Mailing Location
5415 W. HARMON AVE.
UNIT# 1191
LAS VEGAS
NV
891037046
Provider Mailing Phone/Fax
| Phone: | 7024603212 |
| Fax: |