Individual provider · Type 1 NPI
Destiny Peterson, LMT
Specialist · Farmington Hills, MI
NPI number
1366831273
Active
Practice location
35560 Grand River Ave # 124
Farmington Hills, MI 48335-3123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 7501000917 (MI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1366831273
Destiny Peterson, LMT's National Provider Identifier is 1366831273, issued on Jan 15, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmington Hills, MI. The record was last updated on Sep 25, 2026.