MR. NOAH PAUL PETERSEN LMT NPI 1447977707

NPI Information

  • NPI: 1447977707
  • Provider Name: MR. NOAH PAUL PETERSEN, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 800 N 8TH ST
    CLEAR LAKE, IA
    ZIP 50428
  • Phone: (641) 456-6910

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NPI Details

MR. Noah Paul Petersen, LMT is a massage therapist in Clear Lake, IA. 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. MR. Noah Paul Petersen, LMT NPI is 1447977707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 N 8TH ST
CLEAR LAKE, IA
ZIP 50428-539
Phone: (641) 456-6910
Fax: (641) 357-0021

The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist109205IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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