Individual
JESSIE L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
7351 PRAIRIE FALCON RD STE 100, LAS VEGAS, NV 89128-0820
(702) 968-0520
Mailing address
5271 MINERAL LAKE DR, LAS VEGAS, NV 89122-8345
(702) 468-1266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NV
2255A2300X
Athletic Trainer
—
NV
Other
Enumeration date
05/18/2022
Last updated
06/07/2022
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