NPI 1649879297
Justin Peterson, CTRS
Practice location
- Address
- 17273 State Route 104, Chillicothe, OH 45601-9718
- Phone
- (740) 773-1141
- Mailing address
- 3575 Green Haven Way, Maineville, OH 45039-9209
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1649879297
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2020
- Record last updated
- 23 Oct 2020
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.