Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAWNE PETERSON, MT
ActiveFAWNE PETERSON, MT is a Massage Therapist healthcare provider located in PLYMOUTH, Michigan. NPI 1053785931 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PLYMOUTH, MI
Registration Details
- NPI Number
- 1053785931
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2015 (10.700947454214 yrs)
- Last Updated
- Nov 16, 2015
- License
-
7501002781 (MI)
Practice Information
- Address
-
44191 PLYMOUTH OAKS BLVDSUITE 400PLYMOUTH, MI, 481706530Browse MI providers · Browse ZIP 48170
- Phone
- 7342597103
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in PLYMOUTH, MI
| Name | Credential | NPI |
|---|---|---|
| MS. BETTY JANE BRYKELL | CMT | 1154676526 |
| MRS. PATRICIA LUISE KRAJOVIC | MBA | 1497187363 |
| MR. ROBERT LOUIS WIEDLING JR. | — | 1760814321 |
| MS. ERIKA DAWN CHAMPAGNE | MT | 1457784456 |
| CORRINE FOSTER | — | 1942611827 |
| BRENDA PETERS | L.M.T. | 1720455637 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.