Provider Demographics
NPI:1649641903
Name:ELIZABETH PEER
Entity type:Organization
Organization Name:ELIZABETH PEER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:614-824-7791
Mailing Address - Street 1:74 ELECTRIC AVE APT C
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2657
Mailing Address - Country:US
Mailing Address - Phone:614-824-7791
Mailing Address - Fax:
Practice Address - Street 1:74 C ELECTRIC AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-824-7791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33. 020606174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH33. 020606OtherLICENSE MASSAGE THERAPIST