MS. PATRICE PETERSON LMT
NPI 1477327575
Massage Therapist in Phoenix, AZ
- Individual
- Female
- Massage Therapist
About PATRICE PETERSON
This page provides the complete NPI Profile along with additional information for Patrice Peterson, a provider established in Phoenix, Arizona with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1477327575 assigned on November 2023. The practitioner's primary taxonomy code is 225700000X with license number MT-12874 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1477327575 Verify this NPI
- Provider Name
- MS. PATRICE PETERSON LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 510 E TOPEKA DR PHOENIX, AZ 85024
- Location Phone
- (602) 586-6729
- Mailing Address
- 510 E TOPEKA DR PHOENIX, AZ 85024
- Mailing Phone
- (160) 258-6672
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-08-2023
- Last Update Date
- 11-08-2023
- Code Navigator
Location Map
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.
- MT-12874
- License State
- AZ
- 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 1477327575, enumerated as an "individual" on November 08, 2023.
The provider is located at 510 E TOPEKA DR PHOENIX, AZ 85024 and the phone number is (602) 586-6729.
Massage Therapist with taxonomy code 225700000X.