Justin J Petersen, L.M.P.

NPI #1326207069 in Stanwood, Washington

Provider Information

NPI Number: 1326207069
Entity Type: Individual
Name: Justin J Petersen, L.M.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.P.
Enumeration Date: Jun 6, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 9730 SR 532 STE G
City: Stanwood
State: Washington
ZIP Code: 98292-8054
Phone: (360) 629-4722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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