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JACOB PETERSEN
NPI 1659108231
Massage Therapist in El Paso, TX

Active since September 17, 2024
4331 JON CUNNINGHAM BLVD, EL PASO, TX 79934(915) 345-4800 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Petersen NPPES

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

JACOB PETERSEN (NPI 1659108231) is an individual massage therapist in El Paso, Texas, licensed in Texas (MT141891) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1659108231
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJACOB PETERSEN
Location Address4331 JON CUNNINGHAM BLVDEl Paso, TX 79934-3729
Mailing Address4331 Jon Cunningham BlvdEl Paso, TX 79934-3729 · (915) 345-4800
Phone(915) 345-4800
Sole ProprietorYes
Enumeration DateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1659108231 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 TX · MT141891
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.
4331 JON CUNNINGHAM BLVD, El Paso, TX 79934
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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 Jacob Petersen's NPI number?

The NPI number for Jacob Petersen is 1659108231. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Jacob Petersen located?

Jacob Petersen practices at 4331 Jon Cunningham Blvd, El Paso, TX 79934. The listed phone number is (915) 345-4800.

What is Jacob Petersen'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 Jacob Petersen was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.