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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00012013 (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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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.