IndividualActive
Constance Peterson, PT
NPI 1851323067 · Pediatric Physical Therapist · Kingston, TN
Provider details
- NPI number
- 1851323067
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 1095 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
187 Gallaher Rd
Kingston, TN 37763-4721
Phone: (865) 376-4620
Fax: (865) 376-1759
Approximate (ZIP-level) locationGet directions
Mailing address
211 Center Park Drive
Knoxville, TN 37922
Registry dates
- Enumerated
- 2006-07-07
- 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.