Blake Hammond Petersen, DPT
NPI #1063907129 in Kansas City, Missouri
Provider Information
- NPI Number
- 1063907129
- Entity Type
- Individual
- Name
- Blake Hammond Petersen, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Jun 29, 2018
- Last Updated
- Jun 29, 2018
Practice Location
- Address
- 5400 N OAK TRFY STE 103
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64118-4689
- Phone
- (816) 455-0301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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