STEPHANIE LYN PETERSEN LMT
NPI 1972271328
Massage Therapist in Yelm, WA

Active since September 01, 2021
1412 YELM AVE E STE C101, YELM, WA 98597(360) 458-7533 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Lyn Petersen Lmt NPPES

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

STEPHANIE LYN PETERSEN LMT (NPI 1972271328) is an individual massage therapist in Yelm, Washington, licensed in Washington (MA00012013) and active in the NPI registry since September 2021. She maintains a secondary practice location in Rainier.

NPPES Registry Identity

NPI1972271328
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSTEPHANIE LYN PETERSENCredential: LMT
Location Address1412 YELM AVE E STE C101Yelm, WA 98597-8328
Mailing AddressPo Box 674Rainier, WA 98576-0674 · (801) 671-7221
Sole ProprietorYes
Enumeration DateSeptember 1, 2021
NPPES CertifiedAugust 7, 2021
NPI 1972271328 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 WA · MA00012013
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.
1412 YELM AVE E STE C101, Yelm, WA 98597

Secondary Practice Location 1

Location 116443 Woodbrook Lane SERainier, WA 98576 · Phone (801) 671-7221

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1412 YELM AVE E STE C101
YELM, WA 98597
Chiropractor
1412 YELM AVE E STE C101
YELM, WA 98597
Massage Therapist
1412 YELM AVE E STE C101
YELM, WA 98597
Massage Therapist
1412 YELM AVE E STE C101
YELM, WA 98597

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 Stephanie Petersen's NPI number?

The NPI number for Stephanie Petersen is 1972271328. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Stephanie Petersen located?

Stephanie Petersen practices at 1412 Yelm Ave E Ste C101, Yelm, WA 98597. The listed phone number is (360) 458-7533.

What is Stephanie 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 Stephanie Petersen was last updated on September 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.