Individual
BRADLEY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9400 WILLIAMSBURG PLZ STE 100, LOUISVILLE, KY 40222-5097
(502) 412-4486
(502) 412-4490
Mailing address
9400 WILLIAMSBURG PLZ STE 100, LOUISVILLE, KY 40222-5097
(502) 412-4486
(502) 412-4490
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TP2026019
KY
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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