Peterson, Timothy M

Peterson, Timothy M is an individual health care provider with primary practice located at 231 Avenue D , Snohomish WA 98290-2744. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Peterson, Timothy M can be contacted via phone (360) 563-1020.

Contact Information

Primary practice address
231 Avenue D Snohomish WA 98290-2744
Phone: (360) 563-1020
Fax: (360) 563-9040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00003095 Washington

Profile Details

NPI number 1912048737
LBN Legal business name Peterson, Timothy M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Oct 22nd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912048737 NPPES
Washington MEDICAID 8339996

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