Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRAVIS RUSSELL PETERSON
Active Sole ProprietorDR. TRAVIS RUSSELL PETERSON is a Physical Therapy Assistant healthcare provider located in VINEYARD, Utah. NPI 1962859074 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VINEYARD, UT
Registration Details
- NPI Number
- 1962859074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2016 (10.057136755484 yrs)
- Last Updated
- May 18, 2016
- License
-
9633315-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 N ENGLISH RDVINEYARD, UT, 840585645Browse UT providers · Browse ZIP 84058
- Phone
- 8019467514
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in VINEYARD, UT
| Name | Credential | NPI |
|---|---|---|
| LANDAN D MORGAN | PT | 1043710452 |
| MR. MARCO ZANIN | PT | 1538770995 |
| CONNAN WALLACE | PT, DPT | 1548019730 |
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.