Individual
BRENNA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 CALISTOGA ST W, ORTING, WA 98360-2080
(253) 732-2290
Mailing address
PO BOX 14, ORTING, WA 98360-0014
(253) 732-2290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS.MA.70070764
WA
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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