Most Relevant Information
Provider Data
| NPI Number: | 1003008525 |
| Provider Name: | JONATHON R PETERSON PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 7998 |
Most Important Dates
| Enumeration Date: | 08/17/2007 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
705 PLEASANT AVE S
PARK RAPIDS
MN
564701440
Practice Location Phone/Fax
| Phone: | 2187322800 |
| Fax: |
Provider Mailing Location
1702 UNIVERSITY DR S
FARGO
ND
581034940
Provider Mailing Phone/Fax
| Phone: | 7013644222 |
| Fax: |