Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA PETZKE
Active Sole ProprietorTERESA PETZKE is a Physical Therapy Assistant healthcare provider located in ST JOSEPH, Michigan. NPI 1790255339 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ST JOSEPH, MI
Registration Details
- NPI Number
- 1790255339
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2018 (7.7234446456921 yrs)
- Last Updated
- Nov 27, 2018
- License
-
5501010316 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1234 NAPIER AVEST JOSEPH, MI, 49085Browse MI providers · Browse ZIP 49085
- Phone
- 2699838161
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.