Individual
RACHEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
3833 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 712-5429
Mailing address
3833 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 712-5429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7483
MN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376621169
—
MN
Enumeration date
11/01/2006
Last updated
06/06/2019
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