NPI 1003560384
Justin Daniel Peterson, PT
Practice location
- Address
- 9516 State Ave STE B, Marysville, WA 98270-2277
- Phone
- (360) 658-8857
- Fax
- (360) 659-8296
- Mailing address
- 111 Tumwater Blvd SE STE 113, Tumwater, WA 98501-6422
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003560384
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Feb 2022
- Record last updated
- 21 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.