Jeffrey Petersen, PT | |
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | |
(208) 267-3141 | |
(208) 267-1747 |
Full Name | Jeffrey Petersen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6640 Kaniksu St, Bonners Ferry, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912367251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-2720 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Petersen, PT 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 | Jeffrey Petersen, PT 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 |
Mr. Didier Louis Balcaen, R.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Enterprise Dr Ste 101, Bonners Ferry, ID 83805 Phone: 208-597-7250 Fax: 208-550-3752 | |
Joshua Allen Kaufmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Enterprise Dr Ste 101, Bonners Ferry, ID 83805 Phone: 208-597-7250 Fax: 208-550-3752 | |
Mrs. Karen Ann Meeker, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hc 60 Box 13, Bonners Ferry, ID 83805 Phone: 208-267-2803 Fax: 208-267-3048 |