Marlene J Peterson-Decio, MMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1515 Niles Ave
Saint Joseph, MI 49085-1585

Phone

(269) 983-6541

Fax

(269) 585-6449

NPI assigned

Apr 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1679695019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490850451",
            "telephone_number": "269-983-4327",
            "fax_number": "269-585-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851585",
            "telephone_number": "269-983-6541",
            "fax_number": "269-585-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-DECIO",
        "first_name": "MARLENE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.