IndividualActive
Brenda Petticrew, LMT
NPI 1568810331 · Specialist · Shannon, IL
Provider details
- NPI number
- 1568810331
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 227.016348 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
409 S Hickory St
Shannon, IL 61078-9017
Phone: (815) 238-2588
Street-level locationGet directions
Mailing address
409 S Hickory St
Shannon, IL 61078-9017
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2016-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.