| Leif Eric Peterson, MT | |
|
154 Eleu Pl, Kihei, HI 96753-8210 | |
| (808) 419-5790 | |
| Not Available |
| Full Name | Leif Eric Peterson |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 154 Eleu Pl, Kihei, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396457404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAT-16565 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leif Eric Peterson, MT 154 Eleu Pl, Kihei, HI 96753-8210 Ph: (808) 419-5790 | Leif Eric Peterson, MT 154 Eleu Pl, Kihei, HI 96753-8210 Ph: (808) 419-5790 |
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