Individual provider · Type 1 NPI
Stephanie Lyn Petersen, LMT
Massage Therapist · Yelm, WA
NPI number
1972271328
Active
Practice location
1412 Yelm Ave E Ste C101
Yelm, WA 98597-8328
Mailing address
PO Box 674
Rainier, WA 98576-0674
Other practice locations
- 16443 Woodbrook Lane SE, Rainier, WA 98576 · (801) 671-7221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00012013 (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.
3 other providers at this address
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- Martha Ann SizemoreMassage Therapist Yelm, WA NPI 1134901549
- Lukela Los BanosMassage Therapist Yelm, WA NPI 1154949964
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About NPI 1972271328
Stephanie Lyn Petersen, LMT's National Provider Identifier is 1972271328, issued on Sep 1, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yelm, WA. The record was last updated on Sep 1, 2021.