Leif Eric Peterson, MT

NPI #1396457404 in Kihei, Hawaii

Provider Information

NPI Number: 1396457404
Entity Type: Individual
Name: Leif Eric Peterson, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Dec 20, 2022
Last Updated: Dec 20, 2022

Practice Location

Address: 154 ELEU PL
City: Kihei
State: Hawaii
ZIP Code: 96753-8210
Phone: (808) 419-5790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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