Individual
SAMANTHA LUANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
1808 W 1800 N STE A, CLINTON, UT 84015-8503
(801) 217-3133
(801) 528-5067
Mailing address
1105 N NAYON DR, LAYTON, UT 84040-2875
(801) 882-0286
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
Primary
13952862-4701
UT
Other
Enumeration date
06/03/2022
Last updated
07/01/2024
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