Individual
JENNIFER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 S DAKOTA ST, BUTTE, MT 59701-2003
(970) 222-7391
Mailing address
14 S DAKOTA ST, BUTTE, MT 59701-2003
(970) 222-7391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2057
MT
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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