Blake Peterson, PT, DPT
Physical Therapist in Raymore, MO. Individual provider (NPI-1).
NPI number1033780366
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1033780366
- Entity type
- Individual (NPI-1)
- Name
- Blake Peterson
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2021026428 | MO | Yes |
| 225100000X | Physical Therapist | 11-06836 | KS |
Practice location
820 W Foxwood DrRaymore, MO 64083-9195
Phone 816-318-8109
Mailing address
820 W Foxwood DrRaymore, MO 64083-9195
Phone 816-318-8109
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All 11 Physical Therapist providers in Raymore · All 347 providers in Raymore
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