Blake Peterson, PT, DPT

NPI #1033780366 in Raymore, Missouri

Provider Information

NPI Number: 1033780366
Entity Type: Individual
Name: Blake Peterson, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jul 7, 2021
Last Updated: Jul 7, 2021

Practice Location

Address: 820 W FOXWOOD DR
City: Raymore
State: Missouri
ZIP Code: 64083-9195
Phone: (816) 318-8109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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