NPI 1194755405

Traci A. Peterson

Practitioner Recreation Therapist Pueblo, CO

Practice location

Address: 1600 W 24th St, Pueblo, CO 81003-1411
Phone: (719) 546-4811

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Colorado →

Registry record

NPI: 1194755405
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2006
Record last updated: 8 Jul 2007

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.