MEDICARE: DAVID LEE PETERS LICENSED MASSAGE THE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT125547	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MT125547	OTHER	TX	STATE OF TEXAS

General Provider Information

NPI Number	:	1457810970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LEE PETERS LICENSED MASSAGE THE

Provider Business Mailing Address
First Line	:	6850 MINERAL RIDGE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-7693
Country	:	US
Telephone Number	:	503-330-6609
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 MINERAL RIDGE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-7693
Country	:	US
Telephone Number	:	503-330-6609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2019
Last Update Date	:	03/14/2019

Similar Medicare Providers

1063633923 — VERONICA L ANCHONDO M.A.
Practice Location Address:

6846 MINERAL RIDGE DR
EL PASO, TX
79912-7693

Practice Phone: 915-581-9535
Practice Fax:

1366850216 — DR. ANILA EJJIGANI MD
Practice Location Address:

1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM
88008-9743

Practice Phone: 575-332-4633
Practice Fax: 575-332-4633

1821619115 — EL PASO PHYSICAL THERAPY SPECIALISTS LLC
Practice Location Address:

6151 DEW DR STE 300
EL PASO, TX
79912-3912

Practice Phone: 915-581-9606
Practice Fax: 915-590-9165

1104166024 — PALOMA WELLNESS AND REHABILITATION PLLC
Practice Location Address:

6559 N MESA ST
EL PASO, TX
79912-4417

Practice Phone: 915-584-5683
Practice Fax: 915-584-5657

1982556288 — AUBREY OFARRELL
Practice Location Address:

5748 N MESA ST
EL PASO, TX
79912-5427

Practice Phone: 915-703-6380
Practice Fax:

1427251933 — GK DREAMS LLC
Practice Location Address:

300 THUNDERBIRD DR STE 3
EL PASO, TX
79912

Practice Phone: 915-351-2950
Practice Fax: 915-271-8013

Directions to “ DAVID LEE PETERS LICENSED MASSAGE THE” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.