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

Andrea V Peterson

Individual provider Physical Therapy Assistant · NPI 1174257752

Andrea V Peterson is a Physical Therapy Assistant in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

1111 Bayshore Dr
Manitowoc, WI 54220-5548
Phone: (920) 793-7570
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3162-19 (WI)

Record details

NPI number1174257752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address1111 Bayshore Dr, Manitowoc, WI 54220-5548

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