MRS. LIBBY L PETERSON (NPI# 1760701676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760701676 |
| Entity Type | Individual |
| Full Name | MRS. LIBBY L PETERSON |
| Credential | LMP |
| Practice Address |
10090 Main St Suite G Peshastin WA 98847-9770 |
| Mailing Address |
10785 Lone Pine Dr Leavenworth WA 98826-9027 |
| Practice Telephone | 5098814329 |
| Mailing Telephone | 5098814329 |
| Mailing Fax Number | 5095488401 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60160288 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10090 MAIN ST SUITE G |
| City | PESHASTIN |
| State | WA |
| Zip Code | 98847-9770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386983492 | Terri Butler | Massage Therapist | 10090 Main St. Suite G, Snowcreek Health Center, Peshastin, WA 98847 | 2013-02-08 |
| 1033486311 | Elizabeth Jean Mounter | Massage Therapist | 9500 Pakascwa Road, Peshastin, WA 98847 | 2011-11-30 |
| 1649509555 | Kasilyn Lyon | Massage Therapist | 8551 Orchard St, Peshastin, WA 98847 | 2009-12-24 |
| 1609049360 | Jennifer Gillespie | Massage Therapist | 10090 Main Street, Peshastin, WA 98847 | 2008-04-02 |
| 1821275298 | Gerald Olivas | Occupational Therapist | 3215 Allen Ln, Peshastin, WA 98847-9426 | 2008-01-28 |
| 1801191572 | Cascade Adaptive Sports | Voluntary or Charitable | 3215 Allen Ln, Peshastin, WA 98847-9426 | 2011-01-11 |
| 1669012340 | Kesha Milne | Registered Nurse | 10001 School St, Peshastin, WA 98847-9728 | 2020-01-10 |
| 1952788820 | Jonathan Betz | Specialist/Technologist | 5824 Us Highway 97, Peshastin, WA 98847-9731 | 2015-04-30 |
| 1366758864 | Maile Grace Davelaar | Marriage & Family Therapist | 10090 Main St Apt H, Peshastin, WA 98847-9770 | 2010-08-23 |
| 1881248946 | Leavenworth Family Medicine | Naturopath | 10090 Main St Apt H, Peshastin, WA 98847-9770 | 2019-07-27 |
| Find all providers in zip 98847 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386983492 | Terri Butler | Massage Therapist | 10090 Main St. Suite G, Snowcreek Health Center, Peshastin, WA 98847 | 2013-02-08 |
| 1033486311 | Elizabeth Jean Mounter | Massage Therapist | 9500 Pakascwa Road, Peshastin, WA 98847 | 2011-11-30 |
| 1649509555 | Kasilyn Lyon | Massage Therapist | 8551 Orchard St, Peshastin, WA 98847 | 2009-12-24 |
| 1780141010 | Molly L Bloss | Massage Therapist | 10090 Main St Apt H, Peshastin, WA 98847-9770 | 2019-02-22 |
| 1346783172 | Ngoc-tram Duong | Massage Therapist | 10090 Main St Apt H, Peshastin, WA 98847-9770 | 2016-11-28 |
| 1609049360 | Jennifer Gillespie | Massage Therapist | 10090 Main Street, Peshastin, WA 98847 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.