Individual
DR. MARK PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
360 S STATE ST STE C110, OREM, UT 84058-5729
(801) 850-9146
(801) 373-7486
Mailing address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(702) 818-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
344238-2401
UT
Other
Enumeration date
07/21/2006
Last updated
02/20/2025
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