Brian Carl Peterson in Albertville - Physical Therapy Assistant

Brian Carl Peterson - NPI 1194984070

Brian Carl Peterson is a Physical Therapy Assistant in Albertville, Minnesota. Brian Carl Peterson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Brian Carl Peterson is 1194984070. The last update date is 2008-06-05.

Brian Carl Peterson's current location address is 10439 64th Ln Ne, Albertville, Minnesota. You can contact this provider via phone number 7632454115. The mailing address for Brian Carl Peterson is 10439 64th Ln Ne, Albertville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Carl Peterson
Address 10439 64th Ln Ne, Albertville, Minnesota
Phone Number 7632454115
Fax Number
Sole Proprietor Y
Credentials P.T.A.

NPI Number Detail

NPI Number 1194984070
Provider Enumeration Date 2008-06-05
Last Updated Date 2008-06-05

Provider Mailing Address Detail

Address 10439 64th Ln Ne
City Albertville
State Minnesota (MN)
Post Code 553013533
Phone Number 7632454115
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A327
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Brian Carl Peterson

What is the unique identifier code issued to Brian Carl Peterson by the Centers for Medicare & Medicaid Services?

The Brian Carl Peterson has been assigned the NPI (National Provider Identifier) 1194984070. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Brian Carl Peterson's facilities are geographically located?

The facilities of Brian Carl Peterson are physically situated at the following location: 10439 64Th Ln Ne, Albertville, MN, 553013533.

What is Brian Carl Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Carl Peterson is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Brian Carl Peterson receive the assignment of its 1194984070 from the Centers for Medicare & Medicaid Services?

The Brian Carl Peterson was issued its 1194984070 by the Centers for Medicare & Medicaid Services on 2008-06-05.

As of what date was the information regarding Brian Carl Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brian Carl Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-05.

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