Individual provider · Type 1 NPI

Bonnie Celestia Bue-Peterson, LMT

Massage Therapist · Vancouver, WA

NPI number 1235467168 Active

Practice location

3606 Main St, Suite 205
Vancouver, WA 98663-2257

Call (360) 693-7781 Map

Fax (360) 693-1688

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60088320 (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 1235467168

Bonnie Celestia Bue-Peterson, LMT's National Provider Identifier is 1235467168, issued on Dec 4, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Dec 4, 2009.