BONNIE PETERSON NPI 1568701811

NPI Information

BONNIE PETERSON is a massage therapist in Spokane, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. BONNIE PETERSON NPI is 1568701811. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As On Broadway.

The provider's business location address is:

3120 S GRAND BLVD UNIT 8473
SPOKANE, WA
ZIP 99203-681
Phone: (509) 315-5561
Fax: (509) 315-8354

The provider's authorized official is Bonnie Peterson .
The authorized official title is Owner and has the following contact phone number (509) 413-2790.

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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