Individual
LAURA LYNN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 N DESERT BELL BLDG J, GREEN VALLEY, AZ 85614-2558
(520) 308-0715
Mailing address
14428 S VIA DEL MORO, SAHUARITA, AZ 85629-8453
(502) 308-0517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25581
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-25581
STATE BOARD OF MASSEGE THERAPY
AZ
01
—
MT.0019101
DORA
CO
Enumeration date
02/21/2019
Last updated
02/21/2019
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