Mr Robert Clayton Peterman, DOM, LMT, LAC is a
Massage Therapist based in Cody, Wyoming. Mr Robert Clayton Peterman is licensed to practice in New Mexico (license number 4307) and his current practice location is
1907 Beck Ave, Cody, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 587-5951.
NPI number for Mr Robert Clayton Peterman is 1548317175 and his current mailing address is Po Box 2172, Cody, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548317175.
Healthcare Provider's Profile
| Full Name | Mr Robert Clayton Peterman |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1907 Beck Ave, Cody, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548317175
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Robert Clayton Peterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548317175 | NPI | - | NPPES |
| 314457 | Other | WY | BLUE CROSS OF WYOMING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | DOM 775 (New Mexico) | Primary |
| 171100000X | Acupuncturist | AK000703 (Pennsylvania) | Primary |
| 225700000X | Massage Therapist | 4307 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Clayton Peterman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Robert Clayton Peterman, DOM, LMT, LAC
Po Box 2172,
Cody, WY 82414-2172
Ph: (307) 587-5951 | Mr Robert Clayton Peterman, DOM, LMT, LAC
1907 Beck Ave,
Cody, WY 82414-3928
Ph: (307) 587-5951 |
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