Whalio Doctors

NPI 1003560384

Justin Daniel Peterson, PT

Practitioner Physical Therapist Marysville, WA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT61183342 (WA)

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.