Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY PETERSON
Active Sole ProprietorKATHY PETERSON is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in SAINT IGNACE, Michigan. NPI 1407601644 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · SAINT IGNACE, MI
Registration Details
- NPI Number
- 1407601644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2024 (2.3465844582093 yrs)
- Last Updated
- Apr 22, 2024
- License
-
AS490300190 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 307SAINT IGNACE, MI, 497810307Browse MI providers · Browse ZIP 49781
- Phone
- 9066438774
- Fax
- 9069842028
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.