Brenda Peterson
Individual provider Active NPI Physical Therapy Assistant · Saint Francis, KS
NPI 1902235567 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1902235567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1400258 (KS)
- Practice address
- 820 S Denison St
Saint Francis, KS 67756-3541 - Phone
- (785) 332-2531
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1400258 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1400258 | KS | Yes |
Addresses
Primary practice location
820 S Denison St
Saint Francis, KS 67756-3541
Mailing address
820 S Denison St
Saint Francis, KS 67756-3541
Other providers in Saint Francis, KS
- Heather Licke
- Jerome Mark Molstad
- Chanda J Morris
- Morrison Optometric Associates, PA
- Marlo Elizabeth Parsons
- Brett Tyson Poling
- Tim Elden Poling
- Kristle E Raile
- Tyler M Raile
- Revive Performance & Rehab, LLC
All providers in Saint Francis, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.