Individual provider · Type 1 NPI

Georgia K. Peterson, L.M.T

Massage Therapist · Portland, OR

NPI number 1487952107 Active

Practice location

2455 NW Marshall Street, Suite 6
Portland, OR 97210

Call (503) 799-2351 Map

Fax (503) 502-5001

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5722 (OR)

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 1487952107

Georgia K. Peterson, L.M.T's National Provider Identifier is 1487952107, issued on Mar 3, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 5, 2017.