NPI 1003152521

Lori Ann Peterson, LMTNCTMB

Practitioner Massage Therapist Anthem, AZ

Practice location

Address: 40707 N Courage Trl, Anthem, AZ 85086-2531
Phone: (623) 363-4806

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT-14879 (AZ)

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Registry record

NPI: 1003152521
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2013
Record last updated: 2 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.