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Mr. Noah Paul Petersen I, LMT
Massage Therapist in Clear Lake, Iowa
NPI 1447977707

Noah Paul Petersen I is a Massage Therapist based in Clear Lake, IA. Noah Paul Petersen I practices in Clear Lake, IA and has the professional credentials of LMT. The NPI Number for Noah Paul Petersen I is 1447977707 and holds a License No. 109205 (Iowa).

The current practice location address for Noah Paul Petersen I is 800 N 8Th St, Clear Lake, IA and can be reached out via phone at 641-456-6910 and via fax at 641-357-0021.

Location: 800 N 8Th St, Clear Lake, IA, 50428-1539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447977707
Provider Name
Noah Paul Petersen I
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
800 N 8Th St, Clear Lake, IA, 50428-1539
Phone Number
641-456-6910
Fax Number
641-357-0021
Provider Enumeration Date
10/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 N 8Th St
City
Clear Lake
State
Iowa
Zip
50428-1539
Phone Number
641-456-6910
Fax Number
641-357-0021
person
Provider Business Mailing Address Details
Address
800 N 8Th St
City
Clear Lake
State
Iowa
Zip
50428-1539
Phone Number
641-456-6910
Fax Number
641-357-0021
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
109205 (Iowa)
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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