Mr Noah Paul Petersen I, LMT is a
Massage Therapist based in Clear Lake, Iowa. Mr Noah Paul Petersen I is licensed to practice in Iowa (license number 109205) and his current practice location is
800 N 8th St, Clear Lake, Iowa. He can be reached at his office (for appointments etc.) via phone at
(641) 456-6910.
NPI number for Mr Noah Paul Petersen I is 1447977707 and his current mailing address is 800 N 8th St, Clear Lake, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447977707.
Healthcare Provider's Profile
| Full Name | Mr Noah Paul Petersen I |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 800 N 8th St, Clear Lake, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447977707
- Provider Enumeration Date: 10/26/2022
- Last Update Date: 10/26/2022
Medical Identifiers
Medical identifiers for Mr Noah Paul Petersen I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447977707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 109205 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Noah Paul Petersen I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Noah Paul Petersen I, LMT 800 N 8th St, Clear Lake, IA 50428-1539 Ph: (641) 456-6910 | Mr Noah Paul Petersen I, LMT 800 N 8th St, Clear Lake, IA 50428-1539 Ph: (641) 456-6910 |
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