MANDY M PETERSON LMT NPI 1790055192

NPI Information

NPI: 1790055192
Provider Name: MANDY M PETERSON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1010 N WASHINGTON ST
JANESVILLE, WI
ZIP 53548
Phone: (608) 741-6799
Get Directions

Mandy M Peterson, LMT is a massage therapist in Janesville, WI. 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. Mandy M Peterson, LMT NPI is 1790055192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 N WASHINGTON ST
JANESVILLE, WI
ZIP 53548-500
Phone: (608) 741-6799
Fax: (608) 741-3838

The enumeration date for this NPI number is 1/3/2012 and was last updated on 1/3/2012.

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
1	225700000X	Massage Therapist		10215-146	WISCONSIN	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »