Individual provider · Type 1 NPI

Sarah Jane Peterson, LMT

Massage Therapist · Vancouver, WA

NPI number 1104497916 Active

Practice location

8301 NE Hazel Dell Ave
Vancouver, WA 98665-8047

Mailing address

1037 E St
Washougal, WA 98671-1319

Other practice locations

  • 1037 E St, Washougal, WA 98671-1319 · (360) 971-5066

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA61113339 (WA)
Massage Therapist 225700000X25936 (OR)
Massage Therapist Primary 225700000X61113339 (WA)

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 1104497916

Sarah Jane Peterson, LMT's National Provider Identifier is 1104497916, issued on Jul 2, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Feb 28, 2022.