DR. Jesse Robert Peterson, DPT

NPI #1104571256 in Pueblo, Colorado

Provider Information

NPI Number: 1104571256
Entity Type: Individual
Name: DR. Jesse Robert Peterson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 17, 2022
Last Updated: Feb 17, 2022

Practice Location

Address: 3525 E SPAULDING AVE
City: Pueblo
State: Colorado
ZIP Code: 81008-2208
Phone: (719) 542-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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