Individual provider · Type 1 NPI

Mandy M. Peterson, LMT

Massage Therapist · Janesville, WI

NPI number 1790055192 Active

Practice location

1010 N Washington St
Janesville, WI 53548-1500

Call (608) 741-6799 Map

Fax (608) 741-3838

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10215-146 (WI)

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 1790055192

Mandy M. Peterson, LMT's National Provider Identifier is 1790055192, issued on Jan 3, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Janesville, WI. The record was last updated on Jan 3, 2012.