NPI 1093331126

Jessica Lynn Peterson, NDLAC

Practitioner Acupuncturist Dyer, IN

Practice location

Address: 1139 Joliet St, Dyer, IN 46311-1926
Phone: (219) 641-7359
Mailing address: 10653 Millard Dr, Saint John, IN 46373-9150

Registered specialties (2)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 84000210A (IN)

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Naturopath

Other Service Providers Taxonomy 175F00000X Licence 099.0134092 (VT)

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Registry record

NPI: 1093331126
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2020
Record last updated: 24 Jun 2020

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.