Organization
PETERSON HOLISTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES PETERSON LMT, CPT, HHC (OWNER / HOLISTIC HEALTH COACH)
(515) 829-9477
Entity
Organization
Contact information
Practice address
6989 UNIVERSITY AVE, WINDSOR HEIGHTS, IA 50324-1540
(515) 829-9277
Mailing address
170 EVERGREEN DR APT 200C, WAUKEE, IA 50263-8724
(515) 829-9477
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
225700000X
Massage Therapist
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
03/08/2022
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