DR. Travis Russell Peterson

NPI #1962859074 in Vineyard, Utah

Provider Information

NPI Number: 1962859074
Entity Type: Individual
Name: DR. Travis Russell Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 59 N ENGLISH RD
City: Vineyard
State: Utah
ZIP Code: 84058-5645
Phone: (801) 946-7514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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