NPI 1114454923
McKayla Petersen, PTDPT
Practice location
- Address
- 701 W 6th St, Grafton, ND 58237-1379
- Phone
- (701) 871-8765
- Fax
- (701) 352-4410
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1114454923
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 May 2017
- Record last updated
- 27 Aug 2021
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.