Individual
CHAD M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
823 BELKNAP ST, STE 104, SUPERIOR, WI 54880-2974
(715) 394-6355
(715) 394-2191
Mailing address
823 BELKNAP ST, STE 104, SUPERIOR, WI 54880-2974
(715) 394-6355
(715) 394-2191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6767
MN
Other
Enumeration date
07/07/2005
Last updated
05/05/2017
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