Peterson, Blake

Peterson, Blake is an individual health care provider with primary practice located at 820 W Foxwood Dr , Raymore MO 64083-9195. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peterson, Blake can be contacted via phone (816) 318-8109.

Contact Information

Primary practice address
820 W Foxwood Dr Raymore MO 64083-9195
Phone: (816) 318-8109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-06836 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2021026428 Missouri

Profile Details

NPI number 1033780366
LBN Legal business name Peterson, Blake
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Jul 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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