KARISSA PETERSON
Physical Therapist
Active
Individual
NPI: 1104696384
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist - Orthopedic | 2251X0800X | No | 13293 (MN) |
| Physical Therapist | 225100000X | Yes | 15542 (TN) |
Frequently Asked Questions
NPI 1104696384 is the National Provider Identifier for KARISSA PETERSON, a Physical Therapist provider located in Maynardville, TN. This NPI was enumerated on January 8, 2024.
KARISSA PETERSON practices at 4356 MAYNARDVILLE HWY STE 3, Maynardville, TN 37807.
Quick Facts
- NPI
- 1104696384
- Type
- Individual
- Enumerated
- Jan 8, 2024
- Last Updated
- Dec 17, 2024
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