Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NOAH PAUL PETERSEN I, LMT
Active Sole ProprietorMR. NOAH PAUL PETERSEN I, LMT is a Massage Therapist healthcare provider located in CLEAR LAKE, Iowa. NPI 1447977707 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CLEAR LAKE, IA
Registration Details
- NPI Number
- 1447977707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2022 (3.7759030098987 yrs)
- Last Updated
- Oct 26, 2022
- License
-
109205 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 N 8TH STCLEAR LAKE, IA, 504281539Browse IA providers · Browse ZIP 50428
- Phone
- 6414566910
- Fax
- 6413570021
- Primary Specialty
-
Massage Therapist
225700000X
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.