Individual
DAVID A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
8678
CO
225100000X
Physical Therapist
Primary
PTL.0008678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016867
KAISER-COMMERCIAL NUMBER
—
05
—
73774847
—
CO
Enumeration date
03/07/2007
Last updated
06/24/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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