Organization
ELEMENTS OF HEALTH VA LLC
Active
Parent organization
SHAWNTE L PETERSON
Other names
Shawnte Peterson
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNTE L PETERSON
Authorized official
SHAWNTE LATRYCE PETERSON LMT, CHES (OWNER)
(757) 529-1647
Entity
Organization
Contact information
Practice address
4300 PORTSMOUTH BLVD STE 262, CHESAPEAKE, VA 23321-2138
(757) 956-5742
(757) 695-9801
Mailing address
4247 WHITE CAP CRST, CHESAPEAKE, VA 23321-3256
(678) 702-7290
(757) 695-9801
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
04/10/2023
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