Individual
REBECCA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
836 RICHARD DR, STUDIO #8, EAU CLAIRE, WI 54701-6242
(715) 492-3166
Mailing address
836 RICHARD DR, STUDIO #8, EAU CLAIRE, WI 54701-6242
(715) 492-3166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10862-146
WI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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