Individual
MS. KRISTINE R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1323 MAIN ST, SUITE B, BILLINGS, MT 59105-1741
(406) 896-1397
(406) 896-1711
Mailing address
2900 12TH AVE N STE 140W, BILLINGS, MT 59101-7507
(406) 237-5050
(406) 238-6599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2150PT
MT
2251X0800X
Orthopedic Physical Therapist
Primary
2150PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150PT
LICENSE
MT
Enumeration date
07/01/2008
Last updated
07/10/2008
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