IndividualActive
Robert Peterman, DOM, LMT, LAC
NPI 1548317175 · Massage Therapist · Cody, WY
Provider details
- NPI number
- 1548317175
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DOM, LMT, LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- DOM 775 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1907 Beck Ave
Cody, WY 82414-3928
Phone: (307) 587-5951
Street-level locationGet directions
Mailing address
Po Box 2172
Cody, WY 82414-2172
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.