DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SAMANTHA LUANN PETERSON CM

MEDICARE: SAMANTHA LUANN PETERSON CM
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
1171M00000XCase Manager/Care Coordinator
2225700000XMassage Therapist13952862-4701UT

General Provider Information

NPI Number : 1730828039
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA LUANN PETERSON CM
Provider Business Mailing Address
First Line : 1105 N NAYON DR
Second Line :
City : LAYTON
State : UT
Zip : 84040-2875
Country : US
Telephone Number : 801-882-0286
Fax Number :
Provider Business Practice Location Address
First Line : 1808 W 1800 N STE A
Second Line :
City : CLINTON
State : UT
Zip : 84015-8503
Country : US
Telephone Number : 801-217-3133
Fax Number : 801-528-5067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2022
Last Update Date : 07/01/2024

Similar Medicare Providers

1770439150 — ANDREA JOLYNNE JEPSON
Practice Location Address:
1808 W 1800 N STE A
CLINTON, UT
84015-8503
Practice Phone: 801-217-3133
Practice Fax: 801-528-5067
1518649292 — TAYLAR NGO
Practice Location Address:
1808 W 1800 N STE A
CLINTON, UT
84015-8503
Practice Phone: 801-217-3133
Practice Fax:
1720866080 — BARBARA ANNE SCARBROUGH
Practice Location Address:
1808 W 1800 N STE A
CLINTON, UT
84015-8503
Practice Phone: 801-217-3133
Practice Fax:
1356122469 — THERAPEUTIX OF CLINTON LLC
Practice Location Address:
1808 W 1800 N STE A
CLINTON, UT
84015-8503
Practice Phone: 801-217-3133
Practice Fax: 801-528-5067
1649044140 — DANIELLE BREE OLSEN
Practice Location Address:
1808 W 1800 N STE A
CLINTON, UT
84015-8503
Practice Phone: 801-528-5066
Practice Fax:
1013768688 — TIFFANI PULLEY
Practice Location Address:
1808 W 1800 N STE A
CLINTON, UT
84015-8503
Practice Phone: 801-217-3133
Practice Fax:

Directions to “ SAMANTHA LUANN PETERSON CM” 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.