Traci A. Peterson in Pueblo - Recreation Therapist
Traci A. Peterson - NPI 1194755405
Traci A. Peterson is a Recreation Therapist in Pueblo, Colorado. Traci A. Peterson practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Traci A. Peterson is 1194755405. The last update date is 2007-07-08.
Traci A. Peterson's current location address is 1600 W 24th St, Pueblo, Colorado. You can contact this provider via phone number 7195464811. The mailing address for Traci A. Peterson is 1600 W 24th St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci A. Peterson |
|---|---|
| Address | 1600 W 24th St, Pueblo, Colorado |
| Phone Number | 7195464811 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194755405 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1600 W 24th St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810031411 |
| Phone Number | 7195464811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
|
Definition: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Traci A. Peterson by the Centers for Medicare & Medicaid Services?
The Traci A. Peterson has been issued the NPI (National Provider Identifier) 1194755405, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Traci A. Peterson?
The Traci A. Peterson is physically situated at 1600 W 24Th St, in the city of Pueblo, state of CO, with the postal code 810031411.
What is Traci A. Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Traci A. Peterson is Recreation Therapist, and the taxonomy code that categorizes this field of expertise is 225800000X.
On what date did the Traci A. Peterson receive its 1194755405 assignment from the Centers for Medicare & Medicaid Services?
The Traci A. Peterson was assigned its 1194755405 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date were the details pertaining to Traci A. Peterson last refreshed?
The information related to the Traci A. Peterson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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