TRAVIS RUSSELL PETERSON

VINEYARD, UT
NPI1962859074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  9633315-2401)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
Dr. TRAVIS RUSSELL PETERSON
59 N ENGLISH RD
VINEYARD, UT 84058-5645
Phone number: 801-946-7514
Mailing Address
Dr. TRAVIS RUSSELL PETERSON
59 N ENGLISH RD
VINEYARD, UT 84058-5645
Phone number: 801-946-7514
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