MR. ROBERT CLAYTON PETERMAN DOM, LMT, LAC
NPI 1548317175
Massage Therapist in Cody, WY

Active since January 04, 2007

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Robert Clayton Peterman Dom, Lmt, Lac NPPES

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

MR. ROBERT CLAYTON PETERMAN DOM, LMT, LAC (NPI 1548317175) is an individual massage therapist in Cody, Wyoming, licensed in New Mexico (4307) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1548317175
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. ROBERT CLAYTON PETERMANCredential: DOM, LMT, LAC
Location Address1907 BECK AVECody, WY 82414-3928
Mailing AddressPo Box 2172Cody, WY 82414-2172 · (307) 587-5951
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1548317175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NM · 4307
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.

Also ListedAcupuncturistTaxonomy 171100000X · License DOM 775 (NM), AK000703 (PA)
1907 BECK AVE, Cody, WY 82414

Other Identifiers 1

Other314457WY · Blue Cross Of Wyoming

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548317175, enumerated as an "individual" on January 04, 2007.

The provider is located at 1907 BECK AVE CODY, WY 82414 and the phone number is (307) 587-5951.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.