IndividualActive
Travis Peterson
NPI 1962859074 · Physical Therapist · Vineyard, UT
Provider details
- NPI number
- 1962859074
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9633315-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
59 N English Rd
Vineyard, UT 84058-5645
Phone: (801) 946-7514
Approximate (ZIP-level) locationGet directions
Mailing address
59 N English Rd
Vineyard, UT 84058-5645
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.