Individual provider · Type 1 NPI

Jacob Petersen

Massage Therapist · El Paso, TX

NPI number 1659108231 Active

Practice location

4331 Jon Cunningham Blvd
El Paso, TX 79934-3729

Call (915) 345-4800 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT141891 (TX)

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 1659108231

Jacob Petersen's National Provider Identifier is 1659108231, issued on Sep 17, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in El Paso, TX. The record was last updated on Sep 17, 2024.