Individual provider · Type 1 NPI

Trista Jean Petersen, L.M.P.

Massage Therapist · Lakewood, WA

NPI number 1932398716 Active

Practice location

8509 Steilacoom Blvd SW Ste D
Lakewood, WA 98498-4786

Call (253) 507-2858 Map

Mailing address

PO Box 97297
Tacoma, WA 98497-0297

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00023763 (WA)

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 1932398716

Trista Jean Petersen, L.M.P.'s National Provider Identifier is 1932398716, issued on Oct 17, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakewood, WA. The record was last updated on Oct 17, 2007.