Individual provider · Type 1 NPI

Timothy Ryan Peterson

Rehabilitation Practitioner · Sacramento, CA

NPI number 1740101641 Active

Practice location

3947 Lennane Dr Ste 200
Sacramento, CA 95834-1973

Call (916) 840-1200 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1740101641

Timothy Ryan Peterson's National Provider Identifier is 1740101641, issued on Jul 24, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 24, 2026.