Brenna Peterson

Individual provider Active NPI Massage Therapist · Orting, WA

NPI 1740149814 · NPPES record last updated Jan 15, 2026

Key facts

NPI
1740149814
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MASS.MA.70070764 (WA)
Practice address
510 Calistoga St W
Orting, WA 98360-2080
Phone
(253) 732-2290
NPI assigned
Jan 15, 2026
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
MASS.MA.70070764WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X MASS.MA.70070764 WA Yes

Addresses

Primary practice location

510 Calistoga St W
Orting, WA 98360-2080

Mailing address

PO Box 14
Orting, WA 98360-0014
Phone (253) 732-2290

Other practice location 1

8120 Freedom Ln NE Ste 104
Lacey, WA 98516-4704
Phone (253) 732-2290

Other providers in Orting, WA

All providers in Orting, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.