Ricky L Peterson in West Des Moines - Physical Therapist

Ricky L Peterson - NPI 1699755546

Ricky L Peterson is a Physical Therapist in West Des Moines, Iowa. Ricky L Peterson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ricky L Peterson is 1699755546. The last update date is 2008-06-04.

Ricky L Peterson's current location address is 1701 48th St, West Des Moines, Iowa. You can contact this provider via phone number 5152241474 and fax number 5152241478. The mailing address for Ricky L Peterson is 1701 48th St, West Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Ricky L Peterson
Address 1701 48th St, West Des Moines, Iowa
Phone Number 5152241474
Fax Number 5152241478
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1699755546
Provider Enumeration Date 2006-01-18
Last Updated Date 2008-06-04

Provider Mailing Address Detail

Address 1701 48th St
City West Des Moines
State Iowa (IA)
Post Code 502666723
Phone Number 5152241474
Fax Number 5152241478

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1473
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
285478 IA --
33194 IA BCBS

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FAQs about Ricky L Peterson

What is the Ricky L Peterson's unique identification number?

The Ricky L Peterson has been assigned the NPI (National Provider Identifier) Number 1699755546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Ricky L Peterson's physical address?

The Ricky L Peterson is physically located at 1701 48Th St, in the city of West Des Moines, IA, with the postal code 502666723.

What is Ricky L Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ricky L Peterson's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

On what date was the 1699755546 assigned to Ricky L Peterson?

The Ricky L Peterson was issued its 1699755546 on 2006-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Ricky L Peterson's information last updated?

The Ricky L Peterson's information was last updated on 2008-06-04.

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