Individual provider · Type 1 NPI

Fawne Peterson, MT

Massage Therapist · Plymouth, MI

NPI number 1053785931 Active

Practice location

44191 Plymouth Oaks Blvd, Suite 400
Plymouth, MI 48170-6530

Call (734) 259-7103 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501002781 (MI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1053785931

Fawne Peterson, MT's National Provider Identifier is 1053785931, issued on Nov 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plymouth, MI. The record was last updated on Nov 16, 2015.