Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE MICHAEL PETERSON, D.P.T.
ActiveMR. SHANE MICHAEL PETERSON, D.P.T. is a Physical Therapy Assistant healthcare provider located in FOREST GROVE, Oregon. NPI 1336445535 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FOREST GROVE, OR
Registration Details
- NPI Number
- 1336445535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2011 (15.535379474957 yrs)
- Last Updated
- Feb 4, 2011
- License
-
06407 (OR)
Practice Information
- Address
-
3300 19TH AVENUEFOREST GROVE, OR, 97116Browse OR providers · Browse ZIP 97116
- Phone
- 5033577119
- Fax
- 5039922097
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FOREST GROVE, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. DIANA KAY LUBARSKY | PT | 1043231954 |
| ALLYSON H HEDGES | PT | 1558375071 |
| SALLY JEAN MILLER | PT | 1811901341 |
| MRS. AMY ELIZABETH WALKER | PT | 1548274079 |
| MR. JAMES D SURFACE | PHYSICAL THERAPIST | 1063573970 |
| RICKARD L JONES | M.S.P.T. | 1235287616 |
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.