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Individual

KRISTIN MARIE PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1313 30TH AVE S, MOORHEAD, MN 56560-5106
(701) 261-6804
Mailing address
3442 43RD AVE S, FARGO, ND 58104-6667
(701) 261-6804

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1223
ND
225100000X
Physical Therapist
Primary
5706
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105G6PE
BCBS
Enumeration date
11/06/2006
Last updated
04/27/2026
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