Anthony David Peterson, DPT | |
619 6th St W, Park Rapids, MN 56470-1301 | |
(651) 528-2766 | |
Not Available |
Full Name | Anthony David Peterson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 619 6th St W, Park Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700492162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11685 (Minnesota) | Primary |
Provider Name | St. Croix Regional Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
Mailing Address | Practice Location Address |
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Anthony David Peterson, DPT 9203 Raspberry Ct Ne, Bemidji, MN 56601-7853 Ph: (651) 528-2766 | Anthony David Peterson, DPT 619 6th St W, Park Rapids, MN 56470-1301 Ph: (651) 528-2766 |
Jonathon R Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Craig Turnow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Jonathan Lyle Burlingame, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1006 Crocus Hill St E, Park Rapids, MN 56470 Phone: 218-366-8469 | |
Amanda Marie Slaikeu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Avenue South, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Angela Turnow, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Mrs. Heather Mitchell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3015 | |
Taylor Nichole Kunz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-237-3052 |