Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peterson Shoe Inc

Organization Prosthetic/Orthotic Supplier · NPI 1639235088

Peterson Shoe Inc is a Prosthetic/Orthotic Supplier in Anoka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 E Main St
Anoka, MN 55303-3144
Phone: (763) 421-3433
Fax: (763) 421-0054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence NA (MN)

Record details

NPI number1639235088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Purtle-Smith — Manager · (763) 421-3433
NPI enumeratedDecember 29, 2006
Last updated in NPPESApril 8, 2008
Mailing address209 E Main St, Anoka, MN 55303-3144