Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE HAMMOND PETERSEN, DPT
ActiveBLAKE HAMMOND PETERSEN, DPT is a Physical Therapy Assistant healthcare provider located in KANSAS CITY, Missouri. NPI 1063907129 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KANSAS CITY, MO
Registration Details
- NPI Number
- 1063907129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2018 (8.1390236612783 yrs)
- Last Updated
- Jun 29, 2018
- License
-
2018022252 (MO)
Practice Information
- Address
-
5400 N OAK TRFY STE 103KANSAS CITY, MO, 641184689Browse MO providers · Browse ZIP 64118
- Phone
- 8164550301
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. LESLIE L RICKETTS | M.P.T. | 1295735074 |
| DANIEL SHANE JACKSON | DPT | 1952301756 |
| MR. FRANK JOSEPH TERMINI | PT | 1083601777 |
| MR. GERALD N LAMPE | PT PHD | 1720069818 |
| MRS. JAMIE JO SMITH | MPT | 1598734964 |
| MR. ARNOLD E VILLAVICENCIO | — | 1629047063 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.