IndividualActive
Traci Peterson
NPI 1194755405 · Recreation Therapist · Pueblo, CO
Provider details
- NPI number
- 1194755405
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1600 W 24th St
Pueblo, CO 81003-1411
Phone: (719) 546-4811
Approximate (ZIP-level) locationGet directions
Mailing address
1600 W 24th St
Pueblo, CO 81003-1411
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.