Katherine Jean Peterson, L.M.P

Individual provider Active NPI Massage Therapist · Cashmere, WA

NPI 1235263286 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1235263286
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00022737 (WA)
Practice address
203 Woodring St
Cashmere, WA 98815-1035
Phone
(509) 782-0398
Fax
(509) 782-0398
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00022737WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00022737 WA Yes

Addresses

Primary practice location

203 Woodring St
Cashmere, WA 98815-1035

Mailing address

211 River St
Cashmere, WA 98815-1024
Phone (509) 393-3169

Other providers in Cashmere, WA

All providers in Cashmere, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.