Individual
MS. LORI ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
40707 N COURAGE TRL, ANTHEM, AZ 85086-2531
(623) 363-4806
Mailing address
40707 N COURAGE TRL, ANTHEM, AZ 85086-2531
(623) 363-4806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-14879
AZ
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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