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

JEFFREY PETERSEN, PT

Active Sole Proprietor

JEFFREY PETERSEN, PT is a Physical Therapy Assistant healthcare provider located in BONNERS FERRY, Idaho. NPI 1912367251 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BONNERS FERRY, ID

Registration Details

NPI Number
1912367251
Provider Type
Individual
Gender
Male
NPI Issued
Feb 29, 2016 (10.414318484413 yrs)
Last Updated
Feb 29, 2016
License
PT-2720 (ID)
Sole Proprietor
Yes

Practice Information

Address
6640 KANIKSU ST
BONNERS FERRY, ID, 838057532
Browse ID providers · Browse ZIP 83805
Phone
2082673141
Fax
2082671747
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BONNERS FERRY, ID

Name Credential NPI
MRS. KAREN ANN MEEKER R.P.T. 1770698656
JOSHUA ALLEN KAUFMANN DPT 1033415187
MR. DIDIER LOUIS BALCAEN R.P.T. 1013790658
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.