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FAWNE PETERSON MT
NPI 1053785931
Massage Therapist in Plymouth, MI

Active since November 16, 2015
44191 PLYMOUTH OAKS BLVD, SUITE 400, PLYMOUTH, MI 48170(734) 259-7103 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fawne Peterson Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAWNE PETERSON MT (NPI 1053785931) is an individual massage therapist in Plymouth, Michigan, licensed in Michigan (7501002781) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1053785931
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameFAWNE PETERSONCredential: MT
Location Address44191 PLYMOUTH OAKS BLVD, SUITE 400Plymouth, MI 48170-6530
Mailing Address44191 Plymouth Oaks Blvd, Suite 400Plymouth, MI 48170-6530 · (734) 259-7103
Phone(734) 259-7103
Sole ProprietorNo
Enumeration DateNovember 16, 2015
✔ NPI 1053785931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501002781
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
44191 PLYMOUTH OAKS BLVD, Plymouth, MI 48170
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLANA THERAPEUTICS
Massage Therapist
44191 PLYMOUTH OAKS BLVD, SUITE 400
PLYMOUTH, MI 48170
Wayne County (734) 259-7103
BARWIS BRACES, LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
44191 PLYMOUTH OAKS BLVD, #600
PLYMOUTH, MI 48170
Wayne County (248) 633-4414
BARWIS METHODS TRAINING CENTER OF SOUTHEAST MICHIGAN
Clinic/Center (Recovery Care)
44191 PLYMOUTH OAKS BLVD, SUITE 600
PLYMOUTH, MI 48170
Wayne County (734) 259-7100
NICOLE MEAD DPT
Physical Therapist
44191 PLYMOUTH OAKS BLVD, SUITE 600
PLYMOUTH, MI 48170
Wayne County (734) 259-7102
LUBA KHAKHAM
Physical Therapist
44191 PLYMOUTH OAKS BLVD, SUITE 600
PLYMOUTH, MI 48170
Wayne County (734) 259-7102
MICHIGAN REHABILITATION SPECIALISTS OF PLYMOUTH INC
Physical Therapist
44191 PLYMOUTH OAKS BLVD, SUITE 600
PLYMOUTH, MI 48170
Wayne County (734) 259-7102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fawne Peterson's NPI number?

The NPI number for Fawne Peterson is 1053785931. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Fawne Peterson located?

Fawne Peterson practices at 44191 Plymouth Oaks Blvd Suite 400, Plymouth, MI 48170. The listed phone number is (734) 259-7103.

What is Fawne Peterson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Fawne Peterson was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.