Individual
HANNAH NICOLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
353 N 4TH AVE STE 102, POCATELLO, ID 83201-6391
(208) 705-6025
Mailing address
389 JEREMY LN, BLACKFOOT, ID 83221-1106
(719) 504-2858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6461277
ID
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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