KENNETH RYAN PETERSEN

TWIN FALLS, ID
NPI1578129763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT6392)
Enumeration Date2019-05-14
Last Update Date2019-05-14
Business Address
Mr. KENNETH RYAN PETERSEN DPT, CSCS
754 N COLLEGE RD STE D
TWIN FALLS, ID 83301-5822
Phone number: 208-734-5313
Mailing Address
Mr. KENNETH RYAN PETERSEN DPT, CSCS
754 N COLLEGE RD STE D
TWIN FALLS, ID 83301-5822
Phone number: 208-734-5313
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