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HOLLY PETERSEN
NPI 1386021137
Massage Therapist in Clackamas, OR

Active since April 30, 2015
15081 SE 126TH AVE, CLACKAMAS, OR 97015(503) 419-8337 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Petersen NPPES

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

HOLLY PETERSEN (NPI 1386021137) is an individual massage therapist in Clackamas, Oregon, licensed in Oregon (11496) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1386021137
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameHOLLY PETERSEN
Location Address15081 SE 126TH AVEClackamas, OR 97015-9257
Mailing Address15081 Se 126th AveClackamas, OR 97015-9257 · (503) 419-8337
Phone(503) 419-8337
Sole ProprietorYes
Enumeration DateApril 30, 2015
Last NPPES UpdateMay 1, 2015
✔ NPI 1386021137 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 OR · 11496
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.

15081 SE 126TH AVE, Clackamas, OR 97015
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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 Holly Petersen's NPI number?

The NPI number for Holly Petersen is 1386021137. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Holly Petersen located?

Holly Petersen practices at 15081 SE 126th Ave, Clackamas, OR 97015. The listed phone number is (503) 419-8337.

What is Holly Petersen'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 Holly Petersen was last updated on May 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.