Mr Noah Paul Petersen I, LMT is a 
Massage Therapist based in Clear Lake, Iowa. Mr Noah Paul Petersen I is licensed to practice in Iowa (license number 109205) and his current practice location is 
800 N 8th St, Clear Lake, Iowa. He can be reached at his office (for appointments etc.) via phone at 
(641) 456-6910.
NPI number for Mr Noah Paul Petersen I is 1447977707 and his current mailing address is 800 N 8th St, Clear Lake, Iowa. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447977707.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mr Noah Paul Petersen I | 
|---|
| Gender | Male | 
|---|
| Speciality | Massage Therapist | 
|---|
| Location | 800 N 8th St, Clear Lake, Iowa | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1447977707
- Provider Enumeration Date: 10/26/2022
- Last Update Date: 10/26/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Mr Noah Paul Petersen I such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1447977707 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225700000X | Massage Therapist | 109205 (Iowa) | 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 Noah Paul Petersen I 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 Noah Paul Petersen I, LMT 800 N 8th St,
 Clear Lake, IA 50428-1539
 Ph: (641) 456-6910
 | Mr Noah Paul Petersen I, LMT 800 N 8th St,
 Clear Lake, IA 50428-1539
 Ph: (641) 456-6910
 | 
		
		 
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