Individual provider · Type 1 NPI

Lacey Marie Peterson, CPTA

Physical Therapy Assistant · Madison, WI

NPI number 1124216213 Active

Practice location

1807 Paso Roble Way
Madison, WI 53716-2418

Mailing address

PO Box 367, 249 E 1st St
Parker, SD 57053

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0174 (SD)

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 1124216213

Lacey Marie Peterson, CPTA's National Provider Identifier is 1124216213, issued on Oct 15, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Madison, WI. The record was last updated on Oct 15, 2007.