Blake Richard Peterson
Blake Richard Peterson is a Massage Therapist in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2018.
- Licensed in
- VA
- In the registry since
- 2018
Practice location Address checks out
3536 Grove AveRichmond, VA 23221-2200
Phone: (804) 673-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 0019012215 (VA) |
|---|
Record details
| NPI number | 1821506601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 16, 2018 |
| Last updated in NPPES | January 16, 2018 |
| Mailing address | 3536 Grove Ave, Richmond, VA 23221-2200 |
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