Individual
ELISE MONSON PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12519 105TH AVE NW, GIG HARBOR, WA 98329-6924
(435) 232-3763
Mailing address
12519 105TH AVE NW, GIG HARBOR, WA 98329-6924
(435) 232-3763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60510130
WA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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