Jesse Peterson
Jesse Peterson is a Massage Therapist in West Allis, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6767 W Greenfield Ave # LL3West Allis, WI 53214-4967
Phone: (414) 274-9621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1598510786 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 21, 2024 |
| Mailing address | 6767 W Greenfield Ave # Ll3, West Allis, WI 53214-4967 |
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Carolyn Lee Moskonas
6767 W Greenfield Ave # LL3, West Allis, WI 53214-4967 · (414) 274-9621