Individual
DR. JESSE ROBERT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3525 E SPAULDING AVE, PUEBLO, CO 81008-2208
(719) 542-4444
(719) 543-1990
Mailing address
3525 E SPAULDING AVE, PUEBLO, CO 81008-2208
(719) 542-4444
(719) 543-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0018220
CO
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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