Individual provider · Type 1 NPI

Sara Heather Petersen, LMT

Massage Therapist · Portland, OR

NPI number 1104098573 Active

Practice location

5432 N Maryland Ave
Portland, OR 97217-4548

Call (503) 575-0686 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13837 (OR)

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.

4 other providers at this address

Other massage therapist providers in Portland

See all in Portland →

About NPI 1104098573

Sara Heather Petersen, LMT's National Provider Identifier is 1104098573, issued on Mar 26, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 5, 2013.