National Provider Identifier
Michael Carl Peterson, P.T.
Michael Carl Peterson, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Jamestown, NY and a listed phone number of (716) 487-1713.
Profile Overview
- NPI
- 1003062001
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 11, 2008
- Last Updated
- January 07, 2010
Practice Location
- 2850 Mitchell RD
- Jamestown, NY 14701-8906
Phone: (716) 487-1713
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1003062001
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Michael
- Middle Name
- Carl
- Name Prefix
- Mr.
- Credential
- P.T.
- Mailing Street Address
- 2850 Mitchell RD
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-8906
- Mailing Country
- US
- Mailing Phone
- (716) 487-1713
- Practice Street Address
- 2850 Mitchell RD
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-8906
- Practice Country
- US
- Practice Phone
- (716) 487-1713
- Enumeration Date
- August 11, 2008
- Last Updated
- January 07, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)