IndividualActive
Alexis Pettersen, PT, DPT
NPI 1386474500 · Physical Therapist · Kuna, ID
Provider details
- NPI number
- 1386474500
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
672 E Wythe Creek Ct
Kuna, ID 83634-5216
Phone: (208) 922-9828
Approximate (ZIP-level) locationGet directions
Mailing address
720 S Taylor Ave
Glendive, MT 59330-2240
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.