Individual
DR. DANIELLE SPENCER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
11680 HIGHWAY 51 S STE A-1, ATOKA, TN 38004-7604
(901) 837-0994
(901) 837-0999
Mailing address
6600 STAGE RD STE 129, BARTLETT, TN 38134-3838
(901) 837-0994
(901) 837-0999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12892
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9607
PT LICENSURE
—
Enumeration date
06/05/2020
Last updated
04/03/2025
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