Teresa Petersen in Overland Park - Pediatrics
Teresa Petersen - NPI 1467508176
Teresa Petersen is a Pediatrics in Overland Park, Kansas. Teresa Petersen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Teresa Petersen is 1467508176. The last update date is 2013-05-15.
Teresa Petersen's current location address is 6600 College Blvd, Overland Park, Kansas. You can contact this provider via phone number 9133451997 and fax number 9133451990. The mailing address for Teresa Petersen is 6600 College Blvd, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Teresa Petersen |
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Address | 6600 College Blvd, Overland Park, Kansas |
Phone Number | 9133451997 |
Fax Number | 9133451990 |
Sole Proprietor | Y |
Credentials | PT, MS, PC |
NPI Number Detail
NPI Number | 1467508176 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2013-05-15 |
Provider Mailing Address Detail
Address | 6600 College Blvd |
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City | Overland Park |
State | Kansas (KS) |
Post Code | 662111939 |
Phone Number | 9133451997 |
Fax Number | 9133451990 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 11-00490 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
485072409 | MO | -- | |
100359840B | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Teresa Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Teresa Petersen has been assigned the NPI (National Provider Identifier) 1467508176. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Teresa Petersen?
The Teresa Petersen is situated at 6600 College Blvd, in the city of Overland Park, state of KS, with the zip code 662111939.
What is Teresa Petersen's area of expertise and its corresponding taxonomy classification?
The Teresa Petersen's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1467508176 assigned to Teresa Petersen?
The Teresa Petersen was issued its 1467508176 on 2007-01-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Teresa Petersen's details last updated?
The information pertaining to the Teresa Petersen, including its address, specialty, and other details, was most recently updated on 2013-05-15.