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

TaxonomyCodeLicense
Specialist Primary 174400000X7501000917 (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.