Individual
JANIS KAITLIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6005 TIMBER RIDGE DR, PROSPECT, KY 40059-8134
(502) 292-0800
(502) 292-0400
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 759-7476
(812) 401-3259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007850
KY
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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