Ms. Lori Ann Peterson
Massage Therapist
40707 N Courage Trl
Anthem
, Arizona 85086-2531
Ms. Lori Ann Peterson
Massage Therapist
40707 N Courage Trl
Anthem
, Arizona 85086-2531
(623) 363-4806
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Ms. Lori Ann Peterson
- 40707 N Courage Trl
- Anthem, AZ
- Zip : 85086-2531
- Phone : (623) 363-4806
Second Address
- Ms. Lori Ann Peterson
- 40707 N Courage Trl
- Anthem, AZ
- Zip : 85086-2531
- Phone : (623) 363-4806
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-14879 | AZ |
National Provider Identifier
| NPI | 1003152521 |
|---|---|
| Provider Name | Ms. Lori Ann Peterson |
| First Address | Anthem, AZ 85086-2531 |
| Second Address | Anthem, AZ 85086-2531 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2013 |
| Last Update Date | 02/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.