NPI 1093167165

Tracy Peterson, PTA

Practitioner Physical Therapy Assistant Minneapolis, MN

Practice location

Address: 500 Harvard St SE Mayo 450/ Mmc 106, Minneapolis, MN 55455-0363
Phone: (612) 273-8922
Mailing address: 500 Harvard St SE, Minneapolis, MN 55455-0363

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2069 (MN)

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Registry record

NPI: 1093167165
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2016
Record last updated: 22 Aug 2016

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.