Individual provider · Type 1 NPI
Marlene J. Peterson-Decio, MMT
Massage Therapist · St. Joseph, MI
NPI number
1679695019
Active
Practice location
1515 Niles Ave
St. Joseph, MI 49085-1585
Fax (269) 585-6449
Mailing address
PO Box 451
St. Joseph, MI 49085-0451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
Another provider at this address
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About NPI 1679695019
Marlene J. Peterson-Decio, MMT's National Provider Identifier is 1679695019, issued on Apr 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Joseph, MI. The record was last updated on Apr 13, 2009.