Individual
MICHAEL JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
10730 NALL AVE STE 200, OVERLAND PARK, KS 66211-1285
(913) 574-1460
(913) 574-1496
Mailing address
10730 NALL AVE STE 200, OVERLAND PARK, KS 66211-1285
(913) 574-1460
(913) 574-1496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05436
KS
Other
Enumeration date
05/06/2016
Last updated
03/31/2026
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