Individual
DAKOTA JAMES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
8335 N CONGRESS AVE, KANSAS CITY, MO 64152-2041
(816) 741-4711
Mailing address
8335 N CONGRESS AVE, KANSAS CITY, MO 64152-2041
(816) 741-4711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2024008455
MO
Other
Enumeration date
02/08/2022
Last updated
03/05/2025
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