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NATHANIEL PETERSON
NPI 1396126389
Massage Therapist in Romeo, MI

Active since June 15, 2015
126 W SAINT CLAIR ST, ROMEO, MI 48065(586) 651-4712 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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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 Nathaniel Peterson's NPI number?

The NPI number for Nathaniel Peterson is 1396126389. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Nathaniel Peterson located?

Nathaniel Peterson practices at 126 W Saint Clair St, Romeo, MI 48065. The listed phone number is (586) 651-4712.

What is Nathaniel 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 Nathaniel Peterson was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.