Anita Lyn Peterson, LMT

NPI #1558983569 in Gleneden Beach, Oregon

Provider Information

NPI Number: 1558983569
Entity Type: Individual
Name: Anita Lyn Peterson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 13, 2020
Last Updated: May 13, 2020

Practice Location

Address: 6645 GLENEDEN BEACH LOOP
City: Gleneden Beach
State: Oregon
ZIP Code: 97388-9700
Phone: (541) 764-3797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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