Brek Lamont Peterson in Prescott - Physical Therapist
Brek Lamont Peterson - NPI 1518006444
Brek Lamont Peterson is a Physical Therapist in Prescott, Arizona. Brek Lamont Peterson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brek Lamont Peterson is 1518006444. The last update date is 2007-07-09.
Brek Lamont Peterson's current location address is 1320 W Iron Springs Rd, Prescott, Arizona. You can contact this provider via phone number 9287712977 and fax number 9287712987. The mailing address for Brek Lamont Peterson is 1320 W Iron Springs Rd, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brek Lamont Peterson |
|---|---|
| Address | 1320 W Iron Springs Rd, Prescott, Arizona |
| Phone Number | 9287712977 |
| Fax Number | 9287712987 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1518006444 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1320 W Iron Springs Rd |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863051414 |
| Phone Number | 9287712977 |
| Fax Number | 9287712987 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5079 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1669480968 | AZ | NPI |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brek Lamont Peterson?
The Brek Lamont Peterson has been issued the NPI (National Provider Identifier) 1518006444 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Brek Lamont Peterson is physically located?
The Brek Lamont Peterson is physically situated at the following address: 1320 W Iron Springs Rd, Prescott, AZ, 863051414.
What is the area of specialization for Brek Lamont Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brek Lamont Peterson is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Brek Lamont Peterson receive the assignment of its 1518006444 from the Centers for Medicare & Medicaid Services?
The Brek Lamont Peterson was issued its 1518006444 by the Centers for Medicare & Medicaid Services on 2007-02-06.
When was the information regarding Brek Lamont Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brek Lamont Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.