IndividualActive
Martin Peterson, COTA
NPI 1659531630 · Specialist · Rawlins, WY
Provider details
- NPI number
- 1659531630
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- COTA-670 (WY)
Specialties & taxonomies
Other Service Providers
Practice location
542 16th St
Rawlins, WY 82301-5241
Phone: (307) 324-2759
Approximate (ZIP-level) locationGet directions
Mailing address
1611 Loch Tay Blvd
Rawlins, WY 82301-4144
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.