| Dr Travis Russell Peterson, | |
|
59 N English Rd, Vineyard, UT 84058-5645 | |
| (801) 946-7514 | |
| Not Available |
| Full Name | Dr Travis Russell Peterson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 59 N English Rd, Vineyard, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962859074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9633315-2401 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis Russell Peterson, 59 N English Rd, Vineyard, UT 84058-5645 Ph: (801) 946-7514 | Dr Travis Russell Peterson, 59 N English Rd, Vineyard, UT 84058-5645 Ph: (801) 946-7514 |
Jordan Collins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 691 E 400 N Ste 210, Vineyard, UT 84059 Phone: 801-766-4244 | |
Mr. Marco Zanin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 E 180 N Unit 103, Vineyard, UT 84059 Phone: 361-688-0159 | |
Connan Wallace, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 691 E 400 N Ste 210, Vineyard, UT 84059 Phone: 801-766-4244 |