Peterson, Lacey Marie

Peterson, Lacey Marie is an sole proprietor health care provider with primary practice located at 1807 Paso Roble Way , Madison WI 53716-2418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Peterson, Lacey Marie can be contacted via phone (605) 267-0314.

Contact Information

Primary practice address
1807 Paso Roble Way Madison WI 53716-2418
Phone: (605) 267-0314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 0174 South Dakota

Profile Details

NPI number 1124216213
LBN Legal business name Peterson, Lacey Marie
Credentials CPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 18 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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