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Stephanie Petersen, LMT

NPI 1972271328 · on the registry since 2021 · sole proprietor

Practice

Address
1412 Yelm Ave E Ste C101
Yelm, WA 98597
Phone
(360) 458-7533
Organisation at this address
Our Shared Roots
Skyline Chiropractic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 16443 Woodbrook Lane Se, Rainier, 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
2021-09-01

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