Coral Peters, L.M.P.
Individual provider Active NPI Massage Therapist · Cosmopolis, WA
NPI 1801039003 · NPPES record last updated Apr 17, 2009
Key facts
- NPI
- 1801039003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60072538 (WA)
- Practice address
- 1033 1St St
Cosmopolis, WA 98520 - Phone
- (360) 532-1093
- Fax
- (360) 533-2058
- NPI assigned
- Apr 17, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60072538 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60072538 | WA | Yes |
Addresses
Primary practice location
1033 1St St
Cosmopolis, WA 98520
Mailing address
1607 S Evans St
Aberdeen, WA 98520-5114
Phone (360) 532-1093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60072538 | Other | WA | WASHINGTON STATE LICENSE NUMBER |
Other providers in Cosmopolis, WA
- Amanda N Anderson
- Tanya Natalia Bechold
- Lacie Irene Jenkins
- Kelley L Kautzman
- Shirley Mariah Luark
- Veronica G Schmidt
- Paige Snodgrass
- Melissa Nicole Sturgill
- Bailey Nicole Walczak
- Katie L Ward
All providers in Cosmopolis, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.