Most Relevant Information
Provider Data
| NPI Number: | 1003448960 |
| Provider Name: | AMBER DAWN PETERSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 2019029836 |
Most Important Dates
| Enumeration Date: | 02/09/2020 |
| Last Updated: | 06/11/2023 |
Provider Practice Location
13985 CRESTVIEW CIR NW
SILVERDALE
WA
983839525
Practice Location Phone/Fax
| Phone: | 4179429885 |
| Fax: |
Provider Mailing Location
13985 CRESTVIEW CIR NW
SILVERDALE
WA
983839525
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |