Female

Mrs. Mary E. Peterson PT

Physical Therapist in Lenexa, KS(View on Map)

Full Name

Mrs. Mary E Peterson PT

NPI Number

1730403213

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/26/2010

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Kansas
Missouri

License Number

1101341
RO919

Contact
Information

Purpose

Mailing
Location

Address

11140 THOMPSON AVE
11140 THOMPSON AVE

City

Lenexa
Lenexa

State

KS
KS

Postal Code

66219-2301
66219-2301

Country

US
US

Telephone Number

(913) 789-4075
(913) 789-4075

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/26/2010

Provider Address

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