Individual
TYLER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6521 SPANISH FORT BLVD, NEW ORLEANS, LA 70124-4321
(504) 571-5355
(504) 389-4558
Mailing address
6521 SPANISH FORT BLVD, NEW ORLEANS, LA 70124-4321
(504) 571-5355
(504) 389-4558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10030
LA
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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