Search › Idaho › 225X00000X
Theodore Peterson, O.T.R
NPI 1558434928 · on the registry since 2006
Practice
- Address
- Idaho State University
Campus Box 8045
Pocatello, ID 83209 - Phone
- (208) 282-4631
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- IA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho