Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN B PETERSON, PT
ActiveJORDAN B PETERSON, PT is a Physical Therapy Assistant healthcare provider located in BEMIDJI, Minnesota. NPI 1114538170 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BEMIDJI, MN
Registration Details
- NPI Number
- 1114538170
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2020 (6.0073612052122 yrs)
- Last Updated
- Aug 13, 2020
- License
-
11996 (MN)
Practice Information
- Address
-
3835 SUPREME CT NW STE 2BEMIDJI, MN, 566014485Browse MN providers · Browse ZIP 56601
- Phone
- 2184448280
- Fax
- 2184448337
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BEMIDJI, MN
| Name | Credential | NPI |
|---|---|---|
| MR. PETER CRAIG FLAA | P.T. | 1366560674 |
| DR. CHERI LYNNE WARE | DPT | 1366635716 |
| JASON WILLIAM BRODINA | M.P.T. | 1821224213 |
| PATRICIA KAY MAPES | PHYSICAL THERAPIST | 1386870186 |
| ANDREA LYNN BRODINA | M.P.T. | 1063640647 |
| JEFFREY LARGE | MPT | 1649591942 |
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.