NPI 1013641604

Alexander Lee Peterson, DPT

Practitioner Physical Therapist Green Bay, WI

Practice location

Address: 3263 Eaton Rd, Green Bay, WI 54311-6830
Phone: (920) 433-6700
Fax: (920) 433-6719
Mailing address: PO Box 22487, Green Bay, WI 54305-2487

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 16062-24 (WI)

Other Physical Therapist providers in Wisconsin →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 16024-24 (WI)

Registry record

NPI: 1013641604
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2022
Record last updated: 26 Sep 2022

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.