Search › Wisconsin › 225X00000X
Bennet Petersen, MS, OTR/L
NPI 1700166295 · on the registry since 2011
Practice
- Address
- 10222 74th St Ste 211
Kenosha, WI 53142 - Phone
- (262) 925-5020
- Fax
- (262) 925-5021
- Organisation at this address
- Sports Physical Therapists, Llc
Midwest Center For Women'S Health
Midwest Center For Womens Health S.C.
Advantage Physical Therapy & Sports Rehab, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 3506 Jordan Ln, North Las Vegas, NV
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-05
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 Wisconsin