IndividualActive
Brian Peterson, P.T.A.
NPI 1194984070 · Physical Therapy Assistant · Albertville, MN
Provider details
- NPI number
- 1194984070
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A327 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10439 64th Ln Ne
Albertville, MN 55301-3533
Phone: (763) 245-4115
Approximate (ZIP-level) locationGet directions
Mailing address
10439 64th Ln Ne
Albertville, MN 55301-3533
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2008-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.