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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIKELLE MARIE PETERSON, PT, DPT

Active

DR. MIKELLE MARIE PETERSON, PT, DPT is a Physical Therapy Assistant healthcare provider located in BUENA VISTA, Colorado. NPI 1861476574 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BUENA VISTA, CO

Registration Details

NPI Number
1861476574
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2005 (20.507034501044 yrs)
Last Updated
Oct 1, 2018
License
7694 (CO)

Practice Information

Address
29670 COUNTY ROAD 372A
BUENA VISTA, CO, 812119704
Browse CO providers · Browse ZIP 81211
Phone
3038621840
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BUENA VISTA, CO

Name Credential NPI
JENNIFER MARIE NEBGEN 1114008232
MR. NICHOLAS DANIEL JONES P.T. 1528195781
TERESA LEE WATTS P.T. 1215237656
JO CAISSIE 1295003515
MISS ERIN KATHLEEN RATERMAN D.P.T 1215296629
DR. JEFFREY DAVID MOORE DPT 1326399478
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.