Individual provider · Type 1 NPI

Samantha Luann Peterson, CM

Massage Therapist · Clinton, UT

NPI number 1730828039 Active

Practice location

1808 W 1800 N Ste A
Clinton, UT 84015-8503

Fax (801) 528-5067

Mailing address

1105 N Nayon Dr
Layton, UT 84040-2875

Other practice locations

  • 1105 N Nayon Dr, Layton, UT 84040-2875 · (801) 882-0286

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Massage Therapist Primary 225700000X13952862-4701 (UT)

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 1730828039

Samantha Luann Peterson, CM's National Provider Identifier is 1730828039, issued on Jun 3, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clinton, UT. The record was last updated on Jul 1, 2024.