Individual
MS. BEVERLY ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
130 EAST CHELAN AVENUE, CHELAN, WA 98816-3000
(509) 687-3278
(509) 682-4079
Mailing address
PO BOX 1675, CHELAN, WA 98816-1675
(509) 687-3278
(509) 682-4079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078218
DEPARTMENT OF L&I
WA
Enumeration date
09/07/2007
Last updated
09/13/2007
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