Individual
AMMON CHRISTIAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2912 N WEST ST, FLAGSTAFF, AZ 86004-1974
(928) 214-7430
Mailing address
2819 N 3RD ST APT 6, FLAGSTAFF, AZ 86004-3634
(928) 600-8561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034058
AZ
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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