Dr. Mitchell Allen Peterson
Physical Therapist - Neurology
559 Capitol Blvd
Saint Paul
, Minnesota 55103-2101
Dr. Mitchell Allen Peterson
Physical Therapist - Neurology
559 Capitol Blvd
Saint Paul
, Minnesota 55103-2101
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Dr. Mitchell Allen Peterson
- 539 6th Street Ln N
- Lake Elmo, MN
- Zip : 55042-1804
- Phone :
Second Address
- Dr. Mitchell Allen Peterson
- 559 Capitol Blvd
- Saint Paul, MN
- Zip : 55103-2101
- Phone : (651) 232-2128
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology |
National Provider Identifier
| NPI | 1659911089 |
|---|---|
| Provider Name | Dr. Mitchell Allen Peterson |
| First Address | Lake Elmo, MN 55042-1804 |
| Second Address | Saint Paul, MN 55103-2101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2020 |
| Last Update Date | 14/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.