Individual
LAURA LYNN PETERS
Active
Individual
LAURA LYNN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
Update your record
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