Individual provider · Type 1 NPI
Hannah Nicole Peterson, LMT
Massage Therapist · Pocatello, ID
NPI number
1629948195
Active
Practice location
353 N 4th Ave Ste 102
Pocatello, ID 83201-6391
Mailing address
389 Jeremy Ln
Blackfoot, ID 83221-1106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6461277 (ID) |
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
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About NPI 1629948195
Hannah Nicole Peterson, LMT's National Provider Identifier is 1629948195, issued on Nov 10, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pocatello, ID. The record was last updated on Nov 10, 2025.