NPI 1194248674

Terrence Wayne Peterson

Practitioner Home Modifications Contractor Edgewater, CO

Practice location

Address: 2424 Gray St, Edgewater, CO 80214-1141
Phone: (303) 884-0565
Fax: (303) 884-0565

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

Other Contractor providers in Colorado →

Registry record

NPI: 1194248674
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2017
Record last updated: 17 Jul 2017

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.