Most Relevant Information
Provider Data
| NPI Number: | 1003578345 |
| Provider Name: | KENNA RENEE PETERS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 12314965-2401 |
Most Important Dates
| Enumeration Date: | 10/13/2021 |
| Last Updated: | 12/20/2021 |
Provider Practice Location
5541 W 13400 S
RIVERTON
UT
840965640
Practice Location Phone/Fax
| Phone: | 8018714770 |
| Fax: |
Provider Mailing Location
8195 S MAIO DR
SANDY
UT
840936773
Provider Mailing Phone/Fax
| Phone: | 8017031788 |
| Fax: |