SearchWashington225700000X

Brenna Peterson

NPI 1740149814 · on the registry since 2026 · sole proprietor

Practice

Address
510 Calistoga St W
Orting, WA 98360
Phone
(253) 732-2290

Additional practice sites

  • 8120 Freedom Ln Ne Ste 104, Lacey, WA

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington