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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone 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.

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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.