Individual
MEGAN A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1153 E 3900 S, MILLCREEK, UT 84124-1201
(801) 262-6331
(801) 262-3372
Mailing address
1153 E 3900 S, MILLCREEK, UT 84124-1201
(801) 262-6331
(801) 262-3372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9653187-5701
UT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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