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Stephanie Lyn Petersen, LMT
Massage Therapist in Yelm, Washington
NPI 1972271328

Stephanie Lyn Petersen is a Massage Therapist based in Rainier, WA. Stephanie Lyn Petersen practices in Yelm, WA and has the professional credentials of LMT. The NPI Number for Stephanie Lyn Petersen is 1972271328 and holds a License No. MA00012013 (Washington).

The current practice location address for Stephanie Lyn Petersen is 1412 Yelm Ave E Ste C101, Yelm, WA and can be reached out via phone at 360-458-7533.

Location: 1412 Yelm Ave E Ste C101, Yelm, WA, 98576-0674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972271328
Provider Name
Stephanie Lyn Petersen
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1412 Yelm Ave E Ste C101, Yelm, WA, 98576-0674
Phone Number
360-458-7533
Fax Number
Provider Enumeration Date
09/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1412 Yelm Ave E Ste C101
City
Yelm
State
Washington
Zip
98597-8328
Phone Number
360-458-7533
Fax Number
person
Provider Business Mailing Address Details
Address
1412 Yelm Ave E Ste C101
City
Yelm
State
Washington
Zip
98597-8328
Phone Number
360-458-7533
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00012013 (Washington)
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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