Individual
MR. KREIG ROBERT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCBTMB, MMT
Contact information
Practice address
2075 WASMER CIR, BOSQUE FARMS, NM 87068-9683
(505) 410-6161
Mailing address
2075 WASMER CIR, BOSQUE FARMS, NM 87068-9683
(505) 410-6161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7114
NM
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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