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

Dr. Travis Russell Peterson

Individual provider Physical Therapist · NPI 1962859074

Dr. Travis Russell Peterson is a Physical Therapist in Vineyard, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016
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Practice location Address checks out

59 N English Rd
Vineyard, UT 84058-5645
Phone: (801) 946-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9633315-2401 (UT)

Record details

NPI number1962859074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2016
Last updated in NPPESMay 18, 2016

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