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Individual

AMBER DAWN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
13985 CRESTVIEW CIR NW, SILVERDALE, WA 98383-9525
(417) 942-9885
Mailing address
13985 CRESTVIEW CIR NW, SILVERDALE, WA 98383-9525

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2019029836
MO
225700000X
Massage Therapist
Primary
MA60924308
WA

Other

Enumeration date
02/09/2020
Last updated
06/11/2023
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