Jolynn Marie Peterson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61558874 Issued in WA

Practice address

3712 9TH St SW Ste 1a
Puyallup, WA 98373-3564

Phone

(253) 414-2964

Fax

(253) 880-1082

NPI assigned

Jul 12, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mermaid Cove Massage & Wellness, LLC

  • Massage Therapist
  • Puyallup, WA
  • NPI 1184189565
  NPD (past)

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1699666123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 9TH ST SW STE 1A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733564",
            "telephone_number": "253-414-2964",
            "fax_number": "253-880-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 9TH ST SW STE 1A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733564",
            "telephone_number": "253-414-2964",
            "fax_number": "253-880-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JOLYNN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61558874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter E. Logerfo, MD, PLLC
• Werner H Peters, MD
• Christina Peterson, RN
• Geralyn Emma Peterson, LMHC
• Jennifer Peterson, LMP
• Tania Evelyn Peterson, PTA
• Alison Joy Pettinger, PA
• Christopher Neuman Petty, M.D.
• Kandyce Peveto
• William R Pfister Jr., PT

• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.