Stephanie J Peterson, LMT MA57965

NPI #1275841462 in Lehigh Acres, Florida

Provider Information

NPI Number: 1275841462
Entity Type: Individual
Name: Stephanie J Peterson, LMT MA57965
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT MA57965
Enumeration Date: Sep 22, 2010
Last Updated: Sep 22, 2010

Practice Location

Address: 45 ALABAMA RD N STE 1
City: Lehigh Acres
State: Florida
ZIP Code: 33936-6829
Phone: (239) 369-9986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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