Individual
JENILEE ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17787 KENWOOD TRL, LAKEVILLE, MN 55044-9493
(952) 435-3345
Mailing address
9711 UPPER 205TH ST W, LAKEVILLE, MN 55044-6832
(952) 435-3345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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