SearchWyoming174400000X

Martin Peterson, COTA

NPI 1659531630 · on the registry since 2008 · sole proprietor

Practice

Address
542 16th St
Rawlins, WY 82301
Phone
(307) 324-2759
Organisation at this address
Empres At Rawlins, Llc
Mountain Trail Medical
Rawlins Snf Operations, Llc
North Big Horn Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-12

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 Wyoming