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Fawne Peterson, MT
Massage Therapist in Plymouth, Michigan
NPI 1053785931

Fawne Peterson is a Massage Therapist based in Plymouth, MI. Fawne Peterson practices in Plymouth, MI and has the professional credentials of MT. The NPI Number for Fawne Peterson is 1053785931 and holds a License No. 7501002781 (Michigan).

The current practice location address for Fawne Peterson is 44191 Plymouth Oaks Blvd, Plymouth, MI and can be reached out via phone at 734-259-7103.

Location: 44191 Plymouth Oaks Blvd, Plymouth, MI, 48170-6530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053785931
Provider Name
Fawne Peterson
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
44191 Plymouth Oaks Blvd, Plymouth, MI, 48170-6530
Phone Number
734-259-7103
Fax Number
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44191 Plymouth Oaks Blvd
City
Plymouth
State
Michigan
Zip
48170-6530
Phone Number
734-259-7103
Fax Number
person
Provider Business Mailing Address Details
Address
44191 Plymouth Oaks Blvd
City
Plymouth
State
Michigan
Zip
48170-6530
Phone Number
734-259-7103
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501002781 (Michigan)
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.
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