Individual provider · Type 1 NPI
Paula M. Peterson, LMT, MSOM
Massage Therapist · Canon City, CO
NPI number
1578198545
Active
Practice location
2773 Cherry St
Canon City, CO 81212-2618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0023335 (CO) |
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 1578198545
Paula M. Peterson, LMT, MSOM's National Provider Identifier is 1578198545, issued on Mar 10, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Canon City, CO. The record was last updated on Mar 10, 2020.