Individual provider · Type 1 NPI
Noah Paul Petersen I, LMT
Massage Therapist · Clear Lake, IA
NPI number
1447977707
Active
Practice location
800 N 8th St
Clear Lake, IA 50428-1539
Fax (641) 357-0021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 109205 (IA) |
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.
2 other providers at this address
About NPI 1447977707
Noah Paul Petersen I, LMT's National Provider Identifier is 1447977707, issued on Oct 26, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clear Lake, IA. The record was last updated on Oct 26, 2022.