IndividualActive
Bethany Peterson
NPI 1861989204 · Physical Therapy Assistant · Fridley, MN
Provider details
- NPI number
- 1861989204
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
550 Osborne Rd Ne
Fridley, MN 55432-2718
Phone: (763) 236-5000
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Ensley Ave Apt 109
Northfield, MN 55057-3307
Registry dates
- Enumerated
- 2018-04-20
- Last updated
- 2018-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.