Bonnie Peterson

NPI #1568701811 in Spokane, Washington

Provider Information

NPI Number: 1568701811
Entity Type: Organization
Organization Name: Bonnie Peterson
Primary Specialty: Massage Therapist
Enumeration Date: Feb 6, 2013
Last Updated: Feb 6, 2013

Practice Location

Address: 3120 S GRAND BLVD UNIT 8473
City: Spokane
State: Washington
ZIP Code: 99203-2681
Phone: (509) 315-5561

Authorized Official

Name: BONNIE PETERSON
Title: OWNER
Phone: (509) 413-2790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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