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Mr. Robert Clayton Peterman, DOM,LMT,LAC
Massage Therapist in Cody, Wyoming
NPI 1548317175

Robert Clayton Peterman is a Massage Therapist based in Cody, WY. Robert Clayton Peterman practices in Cody, WY and has the professional credentials of DOM,LMT,LAC. The NPI Number for Robert Clayton Peterman is 1548317175 and holds a License No. DOM 775 (Wyoming).

The current practice location address for Robert Clayton Peterman is 1907 Beck Ave, Cody, WY and can be reached out via phone at 307-587-5951. You can also correspond with Robert Clayton Peterman through the mailing address at PO BOX 2172, CODY, WY - 82414-2172 (mailing address contact number: 307-587-5951).

Location: 1907 Beck Ave, Cody, WY, 82414-2172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548317175
Provider Name
Robert Clayton Peterman
Credential
DOM,LMT,LAC
Provider Entity Type
Individual
Gender
Male
Address
1907 Beck Ave, Cody, WY, 82414-2172
Phone Number
307-587-5951
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
314457 01 WY BLUE CROSS OF WYOMING
institution
Provider Business Practice Location Address Details
Address
1907 Beck Ave
City
Cody
State
Wyoming
Zip
82414-3928
Phone Number
307-587-5951
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 2172
City
Cody
State
Wyoming
Zip
82414-2172
Phone Number
307-587-5951
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
AK000703 (Pennsylvania)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
DOM 775 (New Mexico)
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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