Jacob Petersen
Jacob Petersen is a Massage Therapist in El Paso, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2024
Practice location Address checks out
4331 Jon Cunningham BlvdEl Paso, TX 79934-3729
Phone: (915) 345-4800
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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 MT141891 (TX) |
|---|
Record details
| NPI number | 1659108231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 17, 2024 |
| Last updated in NPPES | September 17, 2024 |
| Certification date | September 17, 2024 |
| Mailing address | 4331 Jon Cunningham Blvd, El Paso, TX 79934-3729 |
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