Individual
ALEXIS NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 E MAIN AVE STE 101, BISMARCK, ND 58501-3857
(701) 319-0402
Mailing address
200 E MAIN AVE STE 101, BISMARCK, ND 58501-3857
(701) 319-0402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22234
ND
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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