NATHANIEL PETERSON
NPI 1396126389
Massage Therapist in Romeo, MI
Active since June 15, 2015
About Nathaniel Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL PETERSON (NPI 1396126389) is an individual massage therapist in Romeo, Michigan, licensed in Michigan (7501004865) and active in the NPI registry since June 2015.
NPPES Registry Identity
NPI1396126389
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameNATHANIEL PETERSON
Location Address126 W SAINT CLAIR STRomeo, MI 48065-4654
Mailing Address11973 Springbrook CtBruce Twp, MI 48065-3867 · (586) 651-4712
Phone(586) 651-4712
Sole ProprietorYes
Enumeration DateJune 15, 2015
✔ NPI 1396126389 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 · 7501004865
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.
126 W SAINT CLAIR ST, Romeo, MI 48065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396126389, enumerated as an "individual" on June 15, 2015.
The provider is located at 126 W SAINT CLAIR ST ROMEO, MI 48065 and the phone number is (586) 651-4712.
Massage Therapist with taxonomy code 225700000X.
