Jeremiah Brad Petersen PTA

  • NPI 1760797203
According to our database, the NPI number for Jeremiah Brad Petersen PTA is 1760797203 and activated since 13 years ago. Jeremiah Brad Petersen PTA is an individual provider who specializes in Specialist, and the primary practice location is 5900 Mockingbird Ln, Greendale, WI 53129. You can also contact Jeremiah Brad Petersen PTA via telephone number is (414) 423-1399. Provider NPI information was last updated on 12/27/2012.

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Overview of Jeremiah Brad Petersen PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/09/2010
  • Last updated: 12/27/2012

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 1475-19
  • License State: WI

Provider Mailing Address

  • Address: 133 W Oregon St Apt 202
    Milwaukee, WI 53204
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 5900 Mockingbird Ln
    Greendale, WI 53129
  • Phone: 414-423-1399
  • Fax:

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 1475-19
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeremiah Brad Petersen PTA?
  • A: The npi number for Jeremiah Brad Petersen PTA is 1760797203.
  • Q: What are Jeremiah Brad Petersen PTA's specialties?
  • A: Jeremiah Brad Petersen PTA's specialties are Specialist and different specialities.
  • Q: What is the medical license for Jeremiah Brad Petersen PTA?
  • A: The medical license number for Jeremiah Brad Petersen PTA is 1475-19 and issued in WI in USA.
  • Q: Where is Jeremiah Brad Petersen PTA practice location?
  • A: Jeremiah Brad Petersen PTA is practicing at 5900 Mockingbird Ln, Greendale, WI 53129.
  • Q: How to contact Jeremiah Brad Petersen PTA?
  • A: You can contact Jeremiah Brad Petersen PTA via 414-423-1399.