Anita Lyn Peterson, LMT is a
Massage Therapist based in Gleneden Beach, Oregon. Anita Lyn Peterson is licensed to practice in Oregon (license number 16662) and her current practice location is
6645 Gleneden Beach Loop, Gleneden Beach, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 764-3797.
NPI number for Anita Lyn Peterson is 1558983569 and her current mailing address is Po Box 94, Depoe Bay, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558983569.
Healthcare Provider's Profile
| Full Name | Anita Lyn Peterson |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 6645 Gleneden Beach Loop, Gleneden Beach, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558983569
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 05/13/2020
Medical Identifiers
Medical identifiers for Anita Lyn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558983569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 16662 (Oregon) | 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. Anita Lyn Peterson 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 |
|---|
Anita Lyn Peterson, LMT
Po Box 94,
Depoe Bay, OR 97341-0094
Ph: (541) 961-8657 | Anita Lyn Peterson, LMT
6645 Gleneden Beach Loop,
Gleneden Beach, OR 97388-9700
Ph: (541) 764-3797 |
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