Individual
TRACI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Mailing address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103830
KS
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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