MS. EVELYN BIRGITTA PETERSON LMT
NPI 1053852905
Massage Therapist in Eugene, OR

Active since March 11, 2017
405 E 14TH AVE, 8, EUGENE, OR 97401(801) 688-0614 Get Directions Write a Review

NPPES record last updated: March 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About EVELYN PETERSON

This page provides the complete NPI Profile along with additional information for Evelyn Peterson, a provider established in Eugene, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1053852905 assigned on March 2017. The practitioner's primary taxonomy code is 225700000X with license number 22671 (OR). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1053852905 Verify this NPI
Provider Name
MS. EVELYN BIRGITTA PETERSON LMT
Gender
Female
Entity Type
Individual
Location Address
405 E 14TH AVE 8 EUGENE, OR 97401
Location Phone
(801) 688-0614
Mailing Address
405 E 14TH AVE 8 EUGENE, OR 97401
Mailing Phone
(801) 688-0614
Is Sole Proprietor?
Yes
Enumeration Date
03-11-2017
Last Update Date
03-11-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
22671
License State
OR
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053852905, enumerated as an "individual" on March 11, 2017.

The provider is located at 405 E 14TH AVE 8 EUGENE, OR 97401 and the phone number is (801) 688-0614.

Massage Therapist with taxonomy code 225700000X.