Individual
JENNA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
201 HOSPITAL RD, EAGLE RIVER, WI 54521-8835
(715) 479-7411
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105170
IA
225100000X
Physical Therapist
Primary
12680
SC
225100000X
Physical Therapist
CP043561T
WI
Other
Enumeration date
09/14/2020
Last updated
04/12/2026
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