Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETERSON PT LLC
Active OrganizationPETERSON PT LLC is a Sports Medicine (Pediatrics) organization located in PRESCOTT, Arizona. NPI 1669480968 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · PRESCOTT, AZ
Registration Details
- NPI Number
- 1669480968
- Provider Type
- Organization
- NPI Issued
- Aug 3, 2006 (20.06948215871 yrs)
- Last Updated
- May 20, 2024
- Licenses
-
5810 (AZ)6499 (AZ)5079 (AZ)
Practice Information
- Address
-
1320 W IRON SPRINGS RDPRESCOTT, AZ, 863051414Browse AZ providers · Browse ZIP 86305
- Phone
- 9287712977
- Fax
- 9287712987
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
- Additional Specialty
- Sports Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.