Individual
JENNA LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
325 N ALMA SCHOOL RD STE 3, CHANDLER, AZ 85224-4379
(260) 413-4757
Mailing address
533 W GUADALUPE RD UNIT 2077, MESA, AZ 85210-7784
(260) 413-4757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16104
AZ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
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Other
Enumeration date
07/30/2012
Last updated
09/23/2025
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