Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN PETERSON, COTA
Active Sole ProprietorMARTIN PETERSON, COTA is a Specialist healthcare provider located in RAWLINS, Wyoming. NPI 1659531630 is currently active in the NPPES registry. Verify at CMS.
Specialist · RAWLINS, WY
Registration Details
- NPI Number
- 1659531630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.029517790594 yrs)
- Last Updated
- Jun 12, 2008
- License
-
COTA-670 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
542 16TH STRAWLINS, WY, 823015241Browse WY providers · Browse ZIP 82301
- Phone
- 3073242759
- Primary Specialty
-
Specialist
174400000X
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.