JACOB PETERSEN
NPI 1659108231
Massage Therapist in El Paso, TX
- Individual
- Male
- Massage Therapist
About JACOB PETERSEN
This page provides the complete NPI Profile along with additional information for Jacob Petersen, a provider established in El Paso, Texas with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1659108231 assigned on September 2024. The practitioner's primary taxonomy code is 225700000X with license number MT141891 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1659108231 Verify this NPI
- Provider Name
- JACOB PETERSEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4331 JON CUNNINGHAM BLVD EL PASO, TX 79934
- Location Phone
- (915) 345-4800
- Mailing Address
- 4331 JON CUNNINGHAM BLVD EL PASO, TX 79934
- Mailing Phone
- (915) 345-4800
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-17-2024
- Last Update Date
- 09-17-2024
- 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.
- MT141891
- License State
- TX
- 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 1659108231, enumerated as an "individual" on September 17, 2024.
The provider is located at 4331 JON CUNNINGHAM BLVD EL PASO, TX 79934 and the phone number is (915) 345-4800.
Massage Therapist with taxonomy code 225700000X.
