Individual
ALEXIS PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
672 E WYTHE CREEK CT, KUNA, ID 83634-5216
(208) 922-9828
Mailing address
720 S TAYLOR AVE, GLENDIVE, MT 59330-2240
(406) 989-0327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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