Brett William Petersen PT

NPI 1295008761 - Clinical Exercise Physiologist - 224Y00000X

NPI Details
NPI 1295008761
Gender Male
Enumeration Date 02/14/2012
Last Updated 03/25/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
5805 NEAL AVE N
OAK PARK HEIGHTS MN, 55082-2177, US
Phone (651) 439-8807
Fax (651) 439-0232
Business Location
4200 DAHLBERG DR
SUITE 300
GOLDEN VALLEY MN, 55422-4840, US
Phone (952) 512-5600
Fax (651) 241-3646
Toxanomy
Taxonomy Code 224Y00000X
License State
License Number
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According to our database, Brett William Petersen PT NPI is 1295008761, taxonomy code is 224Y00000X Brett William Petersen PT physically located at 5805 Neal Ave N, Oak Park Heights MN, 55082-2177. NPI Number Brett William Petersen PT has the Individual type.

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1295008761 NPI number is provided on an as is basis without warranty of any kind. 1295008761 is maintained by the National Plan & Provider Enumeration System. The contents of Brett William Petersen PT are for informational purposes only.