Individual provider · Type 1 NPI

Tracy Peterson, PTA

Physical Therapy Assistant · Minneapolis, MN

NPI number 1093167165 Active

Practice location

500 Harvard St SE, Mayo 450/ Mmc 106
Minneapolis, MN 55455-0363

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA2069 (MN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1093167165

Tracy Peterson, PTA's National Provider Identifier is 1093167165, issued on Jul 12, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 22, 2016.